| Mercy Hospital Ada | |
|
430 N Monte Vista St Ada OK 74820-4610 | |
| (580) 332-2323 | |
| (580) 421-6054 |
| Full Name | Mercy Hospital Ada |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 430 N Monte Vista St, Ada, Oklahoma |
| Authorized Official Name and Position | Marcus Bruner (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Contact | 5802206239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Ada 430 N Monte Vista St Ada OK 74820-4610 Ph: (580) 332-2323 | Mercy Hospital Ada 430 N Monte Vista St Ada OK 74820-4610 Ph: (580) 332-2323 |
| NPI Number | 1952643306 |
|---|---|
| Provider Enumeration Date | 03/25/2013 |
| Last Update Date | 06/23/2024 |
| Medicare PECOS PAC ID | 7416197066 |
|---|---|
| Medicare Enrollment ID | O20220728000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952643306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
| Provider Name | Imtiaz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215108907 PECOS PAC ID: 1052479946 Enrollment ID: I20161110002302 |
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