| Mercy Urgent Care And Mental Health Clinic | |
|
1222 Nw Cache Rd Lawton OK 73507-4036 | |
| (580) 355-5500 | |
| (580) 699-3325 |
| Full Name | Mercy Urgent Care And Mental Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1222 Nw Cache Rd, Lawton, Oklahoma |
| Authorized Official Name and Position | Mohammad Azeem (CEO) |
| Authorized Official Contact | 5805366171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Urgent Care And Mental Health Clinic Po Box 7045 Lawton OK 73506-1045 Ph: (580) 355-5500 | Mercy Urgent Care And Mental Health Clinic 1222 Nw Cache Rd Lawton OK 73507-4036 Ph: (580) 355-5500 |
| NPI Number | 1760838445 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 04/09/2017 |
| Medicare PECOS PAC ID | 5698052488 |
|---|---|
| Medicare Enrollment ID | O20170504000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760838445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heidi L Malling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053389742 PECOS PAC ID: 2567439219 Enrollment ID: I20080528000515 |
Laura Coleman, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5366 Nw Cache Rd, Suite 6, Lawton, OK 73505 Phone: 580-536-7546 Fax: 580-581-2051 | |
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