MERCY HOSPITAL TISHOMINGO, INC
NPI 1972809002
Emergency Medicine in Tishomingo, OK

NPI Status: Active since February 08, 2011

Contact Information

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

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  • Organization
  • Emergency Medicine
  • Accepts Insurance
  • CLIA Number: 37D0471998
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-10-2027

About MERCY HOSPITAL TISHOMINGO, INC

This page provides the complete NPI Profile along with additional information for Mercy Hospital Tishomingo, Inc, a provider established in Tishomingo, Oklahoma operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1972809002 assigned on February 2011. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Mercy Hospital Tishomingo, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tracy Enloe (Cfo)

NPI
1972809002
Provider Name
MERCY HOSPITAL TISHOMINGO, INC
Entity Type
Organization
Location Address
1000 S BYRD ST TISHOMINGO, OK 73460
Location Phone
(580) 371-2327
Mailing Address
1000 S BYRD ST TISHOMINGO, OK 73460
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2011
Last Update Date
10-16-2018
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • MyBlue Bronze HMO? 902 - HMO
  • MyBlue Bronze HMO? 904 - HMO
  • MyBlue Bronze HMO? Standard - HMO
  • MyBlue Gold HMO? 704 - HMO
  • MyBlue Gold HMO? 804 - HMO
  • MyBlue Gold HMO? Standard - HMO
  • MyBlue Silver HMO? 705 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY ENLOE

Authorized Official Title
CFO
Authorized Official Phone
(405) 752-3161

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D0471998
Facility Type
Hospital
Certificate Effective Date
June 11, 2025
Certificate Expiration Date
June 10, 2027
Laboratory Director
DR. LOUIS M. CHAMBERS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mercy Hospital Tishomingo, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MERCY HOSPITAL TISHOMINGO, INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972809002, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 6 + 0 + 1 + 8 + 0 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1972809002.

Other Providers at the Same Location


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

Physician Assistant
1000 S BYRD ST
TISHOMINGO, OK 73460
Medicare Defined Swing Bed Unit
1000 S BYRD ST
TISHOMINGO, OK 73460
General Acute Care Hospital (Critical Access)
1000 S BYRD ST
TISHOMINGO, OK 73460
Psychiatry & Neurology (Psychiatry)
1000 S BYRD ST
TISHOMINGO, OK 73460
General Acute Care Hospital (Critical Access)
1000 S BYRD ST
TISHOMINGO, OK 73460
Physician Assistant
1000 S BYRD ST
TISHOMINGO, OK 73460
Nurse Practitioner (Gerontology)
1000 S BYRD ST
TISHOMINGO, OK 73460
Emergency Medicine (Emergency Medical Services)
1000 S BYRD ST
TISHOMINGO, OK 73460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972809002, enumerated as an "organization" on February 08, 2011.

The provider is located at 1000 S BYRD ST TISHOMINGO, OK 73460 and the phone number is (580) 371-2327.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.