Organization
MERCY HOSPITAL TISHOMINGO, INC.
Active
Parent organization
MERCY TISHOMINGO HOSPITAL CORPORATION
Other names
Mercy Hospital Tishomingo Swing Bed
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY TISHOMINGO HOSPITAL CORPORATION
Authorized official
TRACY ENLOE (CFO)
(405) 752-3161
Entity
Organization
Contact information
Practice address
1000 S BYRD ST, TISHOMINGO, OK 73460-3265
(580) 371-2327
Mailing address
1000 S BYRD ST, TISHOMINGO, OK 73460-3265
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
10/12/2018
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