Organization
MERCY HOSPITAL TISHOMINGO, INC
Active
Organization subpart
No
Provider details
NPI number
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
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
10/16/2018
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