Organization
MERCY HEALTH NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E. NEWMAN (CHIEF FINANCIAL OFFICER)
(405) 752-3724
Entity
Organization
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 936-5800
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100741870A
—
OK
01
—
CC9853
MEDICARE RAILROAD
OK
Enumeration date
06/05/2006
Last updated
12/17/2009
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