Mercy Hospital Logan County, Inc

A Medicare group practice based in Guthrie, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4587836200), with 220 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587836200The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
5
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20110930000610 OK Part A Provider - Rural Health Clinic 1659652071
O20110930000365 OK Part A Provider - Rural Health Clinic 1184905507
O20111111000669 OK Part A Provider - Critical Access Hospital 1700169497
O20111111000638 OK Part A Provider - Critical Access Hospital 1306126818
O20121004000289 OK Part B Supplier - Clinic/Group Practice 1306126818

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 220

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (218) or whom Care Compare lists as members (25).

Sources for this page