| St. Mary's Regional Medical Center | |
|
305 S 5th St Enid OK 73701-5832 | |
| (580) 233-6100 | |
| Not Available |
| Full Name | St. Mary's Regional Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 305 S 5th St, Enid, Oklahoma |
| Authorized Official Name and Position | Steve Filton (CFO, SENIOR VP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Regional Medical Center 305 S 5th St Enid OK 73701-5832 Ph: (580) 233-6100 | St. Mary's Regional Medical Center 305 S 5th St Enid OK 73701-5832 Ph: (580) 233-6100 |
| NPI Number | 1417947466 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Medicare PECOS PAC ID | 7315841178 |
|---|---|
| Medicare Enrollment ID | O20051017000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417947466 | NPI | - | NPPES |
| 100690020A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2246 (Oklahoma) | Secondary |
| 282N00000X | General Acute Care Hospital | 2246 (Oklahoma) | Primary |
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