Organization
MERCY HOSPITAL ARDMORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ENLOE (CFO)
(405) 752-3161
Entity
Organization
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 223-5400
Mailing address
PO BOX 776066, CHICAGO, IL 60677-6066
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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