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Mercy Hospital Ardmore INC

Clinic/Center, Multi-Specialty in Ardmore, OK. Organization (NPI-2).

NPI number1982177242
StatusActive
Last updated in NPPESJan 9, 2019

Details

NPI
1982177242
Entity type
Organization (NPI-2)
Legal business name
Mercy Hospital Ardmore INC
Organization subpart
No
Enumeration date
Jan 9, 2019
Last updated
Jan 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes

Practice location

1011 14th Ave Nw
Ardmore, OK 73401-1828

Phone 580-223-5400

Mailing address

Po Box 776066
Chicago, IL 60677-6066

Authorized official

Tracy Enloe
Cfo
4057523161

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