NPIMap

Organization Active NPI

Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
National Provider Identifier
1184721722
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2295 Issued in OK
Legal business name
MERCY HOSPITAL OKLAHOMA CITY, INC
Practice address
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone
(405) 755-1515
Fax
(405) 752-3045
NPI assigned
Sep 17, 2006
Last updated
Jun 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Hahne
Title
Chief Financial Officer
Phone
(405) 936-5649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2295 OK Primary

Addresses

Primary practice location

4300 W Memorial Rd
Oklahoma City, OK 73120-8304

Mailing address

4300 W Memorial Rd
Oklahoma City, OK 73120-8304

Other identifiers 4

IdentifierTypeStateIssuer
100699390AMedicaidOK
000370013-001OtherOKBC/BS # - ACUTE & REHAB
100699390GMedicaidOK
P00182258OtherOKRAILROAD MEDICARE #-ACUTE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031015000016 OK Part A Provider - Hospital 8022920982 Practice locations: Oklahoma City, OK; Yukon, OK; Edmond, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184721722. Details of each certification follow.

Hospital certification: CCN 370013

Legal name
MERCY HOSPITAL OKLAHOMA CITY, INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 7, 2023
Beds
385
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Nov 12, 1974 in OK
Enrollment address
4300 W Memorial Rd
Mercy Hospital Oklahoma City
Oklahoma City, OK 73120-8304
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital Oklahoma City, IncCCN 370013 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John M Mohart Individual Corporate Director Jul 1, 2021
Jennifer Cohen Individual W-2 Managing EmployeeDirector Jun 1, 2025
Dominic M Meldi Individual Corporate DirectorBoard Member Jan 9, 2026
Denise Scoffic Individual Corporate OfficerSVP Jan 1, 2026
Mercy Health Organization, Chesterfield, MO Created for acquisition, Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Oct 1, 1986 100%
Mercy Health Oklahoma Communities Organization, Oklahoma City, OK Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 10, 2012
Jennifer Brown Individual Corporate OfficerSecretary Jan 1, 2026
Christopher F Hahne Individual Corporate OfficerTreasurer Oct 1, 2021
W-2 Managing Employee Oct 1, 2021
Patricia Gelbach Individual Corporate DirectorBoard Member Jan 9, 2026
David G Argueta Individual Corporate DirectorBoard Member Jan 9, 2026
Brian Bennett Geister Individual Corporate OfficerPresident May 28, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Hospital Logan CountyGuthrie, OK, CCN 371317 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Mercy Hospital Logan CountyGuthrie, OK, CCN 37Z317 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Mercy Rehabilitation Hospital Oklahoma CityOklahoma City, OK, CCN 373033 Hospital 5% Or Greater Direct Ownership Interest (49.5%) Dec 22, 2010
Mercy Hospital WatongaWatonga, OK, CCN 371302 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Mercy Hospital Watonga IncWatonga, OK, CCN 37Z302 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2014
Mercy Hospital Kingfisher, IncKingfisher, OK, CCN 371313 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Mercy Hospital Kingfisher, IncKingfisher, OK, CCN 37Z313 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Mercy Rehabilitation Hospital Oklahoma City SouthOklahoma City, OK, CCN 373036 Hospital 5% Or Greater Indirect Ownership Interest (49.5%) Mar 1, 2021
Mercy Hospital Logan County -Guthrie Division Primary CareGuthrie, OK, CCN 373993 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Mercy Hospital Logan County-Crescent Primary CareCrescent, OK, CCN 373990 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 118

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 118

Practitioners & affiliated clinicians

Practitioners 375

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 375

Affiliated clinicians 1,102

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1184721722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-755-1515",
            "fax_number": "405-752-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL OKLAHOMA CITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "HAHNE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "405-936-5649"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699390A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS # - ACUTE & REHAB",
            "identifier": "000370013-001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699390G",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #-ACUTE",
            "identifier": "P00182258",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.