Healthcare Provider Details

I. General information

NPI: 1942486733
Provider Name (Legal Business Name): MERCY HOSPITAL OF PITTSBURGH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N LINDSAY AVE
OKLAHOMA CITY OK
73104-5410
US

IV. Provider business mailing address

1100 N LINDSAY AVE
OKLAHOMA CITY OK
73104-5410
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5896
  • Fax:
Mailing address:
  • Phone: 405-271-5896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberMT187384
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License Number26232
License Number StateOK

VIII. Authorized Official

Name: DR. LUBNA MIRZA
Title or Position: FELLOW
Credential: M.D
Phone: 918-645-0272