| Mercy Hospital Ardmore, Inc | |
|
1011 14th Ave Nw Ardmore OK 73401-1828 | |
| (580) 223-5400 | |
| Not Available |
| Full Name | Mercy Hospital Ardmore, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1011 14th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Marcus Bruner (EXECUTIVE DIRECTOR - FINANCE) |
| Authorized Official Contact | 5802236239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Ardmore, Inc 1011 14th Ave Nw Ardmore OK 73401-1828 Ph: (580) 223-5400 | Mercy Hospital Ardmore, Inc 1011 14th Ave Nw Ardmore OK 73401-1828 Ph: (580) 223-5400 |
| NPI Number | 1104246982 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 06/23/2024 |
| Certification Date | 06/23/2024 |
| Medicare PECOS PAC ID | 8123011277 |
|---|---|
| Medicare Enrollment ID | O20140804001088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104246982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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