Organization
MERCY HEALTH LOVE COUNTY RURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W SCOTT CALLENDER (ADMINISTRATOR)
(580) 276-3347
Entity
Organization
Contact information
Practice address
301 WANDA ST, MARIETTA, OK 73448-1229
(580) 276-2400
(580) 276-4358
Mailing address
301 WANDA ST, MARIETTA, OK 73448-1229
(580) 276-2400
(580) 276-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
OK
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QR1300X
TAXONOMY
OK
Enumeration date
03/05/2007
Last updated
12/11/2025
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