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NPI Code Detail

MEDICARE: MERCY HEALTH NETWORK INC

MEDICARE: MERCY HEALTH NETWORK 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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3208000000XPediatrics Physician

General Provider Information

NPI Number : 1710047550
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HEALTH NETWORK INC
Provider Business Mailing Address
First Line : 4300 W MEMORIAL RD
Second Line : ATTN: JAMES E. NEWMAN
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 : 1575 N SANTA FE AVE
Second Line :
City : EDMOND
State : OK
Zip : 73003-3638
Country : US
Telephone Number : 405-285-0660
Fax Number : 405-285-0659
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JAMES E. NEWMAN
Credential :
Telephone Number : 405-752-3724
Provider Enumeration Date : 12/11/2006
Last Update Date : 03/17/2008

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Directions to “MERCY HEALTH NETWORK INC ” Practice Location

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