NPIMap

Organization Active NPI

Mercy Hospital Oklahoma City, Inc.

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
National Provider Identifier
1487748646
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4004 Issued in OK
Legal business name
MERCY HOSPITAL OKLAHOMA CITY, INC.
Practice address
4401 W Memorial Rd Ste 116
Oklahoma City, OK 73134-1722
Phone
(405) 486-8600
Fax
(405) 752-3918
NPI assigned
Oct 3, 2006
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITAL OKLAHOMA CITY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4004 OK Primary

Addresses

Primary practice location

4401 W Memorial Rd Ste 116
Oklahoma City, OK 73134-1722

Mailing address

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Other names 1

  • Mercy Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000364 OK Part A Provider - Hospice 8022920982 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487748646. Details of each certification follow.

Hospice certification: CCN 371509

Legal name
MERCY HOSPITAL OKLAHOMA CITY, INC
Doing business as
MERCY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 20, 1990
Last certification
Oct 6, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Nov 12, 1974 in OK
Enrollment address
4401 W Memorial Rd Ste 116
Mercy Hospice
Oklahoma City, OK 73134-1787

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: Hospice

Medicare Care Compare
Listed as
Mercy HospiceCCN 371509 · All quality measures
Ownership
Non-Profit
Certified
Mar 20, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Center Lab-8 organizations share this tax ID, including this one
Part of
Mercy Health Center Lab-

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jamie Wilke Individual Corporate OfficerSecretary Jul 1, 2024
Shannon Sock Individual Corporate DirectorBoard Member Jul 1, 2021
John M Mohart Individual Corporate DirectorBoard Member Jul 1, 2021
Jennifer Cohen Individual W-2 Managing EmployeeDirector Jun 29, 2025
Jeffrey Peter Ciaramita Individual Corporate DirectorBoard Member Jul 1, 2021
Mercy Health Organization, Chesterfield, MO 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 100%
Christopher F Hahne Individual Corporate OfficerTreasurer Oct 1, 2021
Brian Day Individual Corporate OfficerSenior Vice President Jun 25, 2025
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

Affiliated clinicians 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1487748646",
    "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",
            "telephone_number": "405-755-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD STE 116",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341722",
            "telephone_number": "405-486-8600",
            "fax_number": "405-752-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL OKLAHOMA CITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL OKLAHOMA CITY, INC.",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "405-936-5649"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.