MEDICARE: MERCY HOSPITAL OKLAHOMA CITY, 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
1	251E00000X	Home Health Agency	7207	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000377048-001	OTHER	OK	BC/BS # - HOME HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437256070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HOSPITAL OKLAHOMA CITY, INC.

Provider Business Mailing Address
First Line	:	4300 W MEMORIAL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8304
Country	:	US
Telephone Number	:	405-752-3724
Fax Number	:	405-752-3811

Provider Business Practice Location Address
First Line	:	4401 W MEMORIAL RD STE 143
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1787
Country	:	US
Telephone Number	:	405-486-8600
Fax Number	:	405-752-3598

Authorized Official
Title or Position	:	VP FINANCE
Name	:	CHRISTOPHER HAHNE
Credential	:
Telephone Number	:	405-936-5649

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	09/29/2022

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