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MERCY HOSPITAL TISHOMINGO INC NPI 1972809002


NPI Information

NPI: 1972809002
Provider Name: MERCY HOSPITAL TISHOMINGO, INC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 37D0471998

Address:
1000 S BYRD ST
TISHOMINGO, OK
ZIP 73460
Phone: (580) 371-2327
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MERCY HOSPITAL TISHOMINGO, INC is an emergency medicine in Tishomingo, OK. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MERCY HOSPITAL TISHOMINGO, INC NPI is 1972809002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 S BYRD ST
TISHOMINGO, OK
ZIP 73460-265
Phone: (580) 371-2327

The provider's authorized official is Tracy Enloe .
The authorized official title is Cfo and has the following contact phone number (405) 752-3161.

The CLIA number assigned to this NPI record is 37D0471998 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/8/2011 and was last updated on 10/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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