Mercy Memorial Emergency Physicians Pc

LBN: Mercy Memorial Emergency Physicians Pc
Mercy Memorial Emergency Physicians Pc is an health care organization with primary practice located at 1011 14Th Ave Nw Er Dept., Ardmore OK 73401-1828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Mercy Memorial Emergency Physicians Pc can be contacted via phone (580) 220-6415, or through Orcutt, Paul Dean via phone (405) 751-4664.

Contact Information

Primary practice address
1011 14Th Ave Nw Er Dept. Ardmore OK 73401-1828
Fax: (405) 749-4561
Website:
Authorized official contact:
Name: Orcutt, Paul Dean Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1801858931
LBN Legal business name Mercy Memorial Emergency Physicians Pc
DBA Doing business as
Authorized official Orcutt, Paul Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801858931 NPPES
Oklahoma Other CK6850 RR MEDICARE
Oklahoma MEDICAID 04489005 RR MEDICARE

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