NPIMap

Organization Active NPI

Mercy Hospital Healdton, Inc.

  • Critical Access Hospital
  • Healdton, OK
National Provider Identifier
1578710406
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
MERCY HOSPITAL HEALDTON, INC.
Practice address
3462 Hospital Rd
Healdton, OK 73438-6124
Phone
(580) 229-0701
NPI assigned
Aug 21, 2008
Last updated
Sep 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Sherry Lynn Clouse Day
Title
VP Finance
Phone
(417) 820-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

3462 Hospital Rd
Healdton, OK 73438-6124

Mailing address

3462 Hospital Rd
Healdton, OK 73438-6124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000470 OK Part A Provider - Critical Access Hospital 3375610447 Receives reassigned benefits from 25 practitioners
Practice locations: Healdton, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578710406. Details of each certification follow.

Hospital certification: CCN 371310

Legal name
MERCY HOSPITAL HEALDTON INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
Feb 28, 2024
Beds
22
Ownership / control type
Private (not for profit)
Most recent change of ownership
Aug 1, 2008 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 31, 2008 in OK
Enrollment address
3462 Hospital Rd
Healdton, OK 73438-6124
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital Healdton, Inc.CCN 371310 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Healdton Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to 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
Jennifer Cohen Individual W-2 Managing EmployeeDirector Aug 1, 2025
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit, Chain home office Operational/Managerial Control Aug 1, 2008 100%
Mercy Health Oklahoma Communities Organization, Oklahoma City, OK Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2012 100%
Darlye Voss Individual Corporate OfficerPresident Jul 1, 2021
Lindsay a Wilson Individual Corporate DirectorBoard Member Jul 1, 2022
Mercy Hospital Ardmore Inc Organization, Ardmore, OK Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Sherry Clouse Day Individual Corporate OfficerTreasurer Jan 1, 2021
W-2 Managing EmployeeVP of Finance-Cah Jan 1, 2021
Brian Day Individual Corporate OfficerSenior Vice President Aug 1, 2025
Joy Linn Alexander Individual Corporate Director Jan 1, 2016

Owners & managing parties with NPI records 5

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

Facilities with the same owner 119

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

View all 119

Practitioners & affiliated clinicians

Practitioners 28

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 28

Affiliated clinicians 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1578710406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 HOSPITAL RD",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734386124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3462 HOSPITAL RD",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734386124",
            "telephone_number": "580-229-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL HEALDTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "CLOUSE DAY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "417-820-8439"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdton, OK

Sources for this page

Verify at the official NPI Registry.