NPIMap

Organization Active NPI

Mercy Hospital Oklahoma City, Inc.

  • Physical Therapy Clinic/Center
  • Edmond, OK
National Provider Identifier
1447541701
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MERCY HOSPITAL OKLAHOMA CITY, INC.
Practice address
14017 N Eastern Ave
Edmond, OK 73013-5586
Phone
(405) 341-7356
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Christopher Hahne
Title
Vice President Finance
Phone
(405) 936-5649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

14017 N Eastern Ave
Edmond, OK 73013-5586

Mailing address

520 S Mustang Rd
Yukon, OK 73099-6737
Phone (417) 820-7133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000698 OK Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8022920982 Practice locations: Yukon, OK

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Canadian C7 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.

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1447541701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996737",
            "telephone_number": "417-820-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14017 N EASTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135586",
            "telephone_number": "405-341-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL OKLAHOMA CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "HAHNE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "405-936-5649"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.