Organization
MERCY HEALTH SERVICES INC.
Active
Other names
Mercy After Hours
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JOHNSTON (V.P.)
(405) 751-4664
Entity
Organization
Contact information
Practice address
520 S MUSTANG RD, SUITE S, YUKON, OK 73099-6737
(405) 749-7099
(405) 749-4561
Mailing address
PO BOX 504438, SAINT LOUIS, MO 63150-0001
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200010780A
—
OK
05
—
200010780B
—
OK
05
—
200010780C
—
OK
Enumeration date
04/26/2006
Last updated
05/22/2008
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