| Mercy Health Network Inc | |
|
1575 N Santa Fe Ave Edmond OK 73003-3638 | |
| (405) 285-0660 | |
| (405) 285-0659 |
| Full Name | Mercy Health Network Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 1575 N Santa Fe Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | James E. Newman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4057523724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Network Inc 4300 W Memorial Rd Attn: James E. Newman Oklahoma City OK 73120-8304 Ph: (405) 752-3724 | Mercy Health Network Inc 1575 N Santa Fe Ave Edmond OK 73003-3638 Ph: (405) 285-0660 |
| NPI Number | 1710047550 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710047550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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