| Mercy Hospital Logan County Guthrie Division Primary Care | |
|
2919 S Division St Guthrie OK 73044-6806 | |
| (405) 282-6301 | |
| Not Available |
| Full Name | Mercy Hospital Logan County Guthrie Division Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2919 S Division St, Guthrie, Oklahoma |
| Authorized Official Name and Position | Sherry Clouse Day (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 4178208439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Logan County Guthrie Division Primary Care 2919 S Division St Guthrie OK 73044-6806 Ph: (405) 282-6301 | Mercy Hospital Logan County Guthrie Division Primary Care 2919 S Division St Guthrie OK 73044-6806 Ph: (405) 282-6301 |
| NPI Number | 1184905507 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 09/27/2021 |
| Medicare PECOS PAC ID | 4587836200 |
|---|---|
| Medicare Enrollment ID | O20110930000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184905507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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