MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA LLC NPI 1114982527

NPI Information

NPI: 1114982527
Provider Name: MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA, LLC

Doing Business As: MERCY OCCUPATIONAL MEDICINE

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
921 14TH AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 223-5311
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MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA, LLC is an occupational medicine clinic center in Ardmore, OK. MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA, LLC NPI is 1114982527. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Occupational Medicine.

The provider's business location address is:

921 14TH AVE NW
ARDMORE, OK
ZIP 73401-837
Phone: (580) 223-5311
Fax: (580) 223-8227

The provider's authorized official is Benjamin Baker Fore .
The authorized official title is Medical Director and has the following contact phone number (580) 226-7246.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	OKLAHOMA	TAX ID FOR MERCY OCC MED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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