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NPI Code Detail

MEDICARE: MERCY HOSPITAL EL RENO, INC

MEDICARE: MERCY HOSPITAL EL RENO, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1407214620
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HOSPITAL EL RENO, INC
Provider Business Mailing Address
First Line : 2001 PARKVIEW DR
Second Line :
City : EL RENO
State : OK
Zip : 73036-2107
Country : US
Telephone Number : 405-262-2640
Fax Number :
Provider Business Practice Location Address
First Line : 2001 PARKVIEW DR
Second Line :
City : EL RENO
State : OK
Zip : 73036-2107
Country : US
Telephone Number : 405-262-2640
Fax Number :
Authorized Official
Title or Position : PRESIDENT-WEST COMMUNITIES
Name : MS. DIANA SMALLEY
Credential :
Telephone Number : 405-752-3085
Provider Enumeration Date : 02/02/2016
Last Update Date : 02/02/2016

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Directions to “MERCY HOSPITAL EL RENO, INC ” Practice Location

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