# MERCY HOSPITAL OKLAHOMA CITY OUTPATIENT SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023586252
- **Authorized official:** TRACY ENLOE (CFO)
- **Authorized official phone:** (405) 752-3161

## Contact information

- **Practice address:** 3301 NW 50TH ST STE 200, OKLAHOMA CITY, OK 73112-5627
- **Practice address phone:** (405) 947-0911
- **Mailing address:** PO BOX 776066, CHICAGO, IL 60677-6066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2018
- **Last updated:** 12/17/2018