MERCY HEALTH SERVICES-SOUTHERN REGION, LLC NPI 1003872482

in Ardmore, OK

About MERCY HEALTH SERVICES-SOUTHERN REGION, LLC

Mercy Health Services-southern Region, Llc is a provider in Ardmore, OK. The NPI number assigned to this provider is 1003872482. The provider is registered as an organization and their NPI record was last updated 10 years ago. Mercy Health Services-southern Region, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI1003872482 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMERCY HEALTH SERVICES-SOUTHERN REGION, LLC
Provider Location Address1001 15TH AVE NW ARDMORE, OK 73401 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4401 W MEMORIAL RD SUITE #141; ATTN: BECKY OKLAHOMA CITY, OK 73134 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-25-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MERCY HEALTH SERVICES-SOUTHERN REGION, LLC
1001 15TH AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 223-3737
Fax: (580) 226-5679
Get Directions

Mailing Address

MERCY HEALTH SERVICES-SOUTHERN REGION, LLC
4401 W MEMORIAL RD
SUITE #141; ATTN: BECKY
OKLAHOMA CITY, OK
ZIP 73134
Phone: (405) 936-5811
Fax: (405) 936-5810

Primary Taxonomy

Authorized Official

Authorized Official Name MARK A. NAFZIGER Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVP/CFO
Authorized Official Phone(405) 752-3724

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineN/A

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

22083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineN/A

Taxonomy Description: a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Map Location


MERCY HEALTH SERVICES-SOUTHERN REGION, LLC address is 1001 15TH AVE NW ARDMORE, OK 73401

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265497275 LAURA JOHNSON LPN
Individual
Licensed Practical Nurse1001 15TH AVE NW
ARDMORE, OK 73401
(580) 223-3737
1497710487 JUDY JOHNSTON LPN
Individual
Licensed Practical Nurse1001 15TH AVE NW
ARDMORE, OK 73401
(580) 223-3737
1740533538MCKOWN CLINIC PLLC
Organization
Clinic/Center1001 15TH AVE NW
ARDMORE, OK 73401
(580) 226-7181
1780650606DR. RYAN W SCHAFER DO
Individual
Family Medicine1001 15TH AVE NW
ARDMORE, OK 73401
(580) 319-5205
1811449390OSU CENTER FOR HEALTH SCIENCES
Organization
Clinic/Center1001 15TH AVE NW
ARDMORE, OK 73401
(918) 561-8306
1861872038OSU CENTER FOR HEALTH SCIENCES
Organization
Clinic/Center1001 15TH AVE NW
ARDMORE, OK 73401
(918) 561-8306
1871558064 CHARLES DONALD HOLMES PA-C
Individual
Physician Assistant1001 15TH AVE NW SUITE A
ARDMORE, OK 73401
(580) 223-2123
1871843920WELLNESS CENTER OF SOUTHERN OKLAHOMA, INC
Organization
Pain Medicine (Pain Medicine)1001 15TH AVE NW
ARDMORE, OK 73401
(580) 223-3737