- Enrollment id
- O20240112003348
- Enrollment state
- OK
- Provider type code
- 00-09
- Provider type text
- PART A PROVIDER - HOSPITAL
- Npi
- 1558148627
- Multiple npi flag
- N
- Ccn
- 370002
- Associate id
- 0840641825
- Organization name
- INTEGRIS HEALTH WOODWARD HOSPITAL INC
- Doing business as name
- INTEGRIS HEALTH WOODWARD HOSPITAL
- Incorporation date
- 2023-07-31
- Incorporation state
- OK
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 900 17TH ST
- City
- WOODWARD
- State
- OK
- Zip code
- 738012448
- Practice location type
- MAIN/PRIMARY HOSPITAL LOCATION
- Subgroup - general
- N
- Subgroup - acute care
- Y
- Subgroup - alcohol drug
- N
- Subgroup - childrens
- N
- Subgroup - long-term
- N
- Subgroup - psychiatric
- N
- Subgroup - rehabilitation
- N
- Subgroup - short-term
- N
- Subgroup - swing-bed approved
- N
- Subgroup - psychiatric unit
- N
- Subgroup - rehabilitation unit
- N
- Subgroup - specialty hospital
- N
- Subgroup - other
- N
- Reh conversion flag
- N