Healthcare Provider Details

I. General information

NPI: 1447541701
Provider Name (Legal Business Name): MERCY HOSPITAL OKLAHOMA CITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14017 N EASTERN AVE
EDMOND OK
73013-5586
US

IV. Provider business mailing address

520 S MUSTANG RD
YUKON OK
73099-6737
US

V. Phone/Fax

Practice location:
  • Phone: 405-341-7356
  • Fax:
Mailing address:
  • Phone: 417-820-7133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER HAHNE
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 405-936-5649