NPIMap

Organization Active NPI

Mercy Hospital Ada, Inc

Doing business as Mercy Hospital Ada

  • Rehabilitation Hospital Unit
  • Ada, OK
National Provider Identifier
1932442019
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
MERCY HOSPITAL ADA, INC
Doing business as
Mercy Hospital Ada
Practice address
430 N Monte Vista St
Ada, OK 74820-4610
Phone
(580) 332-2323
Fax
(580) 421-6054
NPI assigned
Mar 27, 2013
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Tammi Harmoning
Title
Cfo
Phone
(580) 220-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

430 N Monte Vista St
Ada, OK 74820-4610

Mailing address

430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323

Other names 1

  • Mercy Hospital Ada Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130909000273 OK Part A Provider - Hospital 7416197066 Practice locations: Ada, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932442019. Details of each certification follow.

Hospital certification: CCN 37T020

Legal name
MERCY HOSPITAL ADA INC
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 2013 in OK
Enrollment address
430 N. Monte Vista St
Ada, OK 74820-4610
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Hospital AdaCCN 37T020 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Ada Pharmacy8 organizations share this tax ID, including this one

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 18

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
Debra Thompson Individual Corporate DirectorBoard Member Jul 1, 2021
Justin Graham Individual Corporate DirectorBoard Member May 1, 2025
Jennifer Cohen Individual W-2 Managing EmployeeDirector May 28, 2025
Peggy James Individual Corporate DirectorBoard Member May 1, 2025
Audra Kay Cook Individual Corporate Director Jul 1, 2022
Tammi Harmoning Individual Corporate OfficerTreasurer May 1, 2025
W-2 Managing EmployeeVP Finance May 1, 2025
Lucas William Clark Individual Corporate DirectorBoard Member Jul 1, 2022
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2013 100%
Mercy Health Oklahoma Communities Organization, Oklahoma City, OK Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2013 100%
Darlye Voss Individual Corporate OfficerPresident May 1, 2025
Diane Koorie Individual Corporate Director Jul 1, 2014
Lewellyn Jay Keel Individual Corporate DirectorBoard Member Jul 1, 2022
Michael Cody Curry Individual Corporate Director Jul 1, 2020
David Lassiter Individual Corporate DirectorBoard Member Jul 1, 2021
Regina Robertston Individual Corporate DirectorChairperson Jul 1, 2021
Brian Day Individual Corporate OfficerSenior Vice President May 1, 2025
Shirley Mixon Individual Corporate DirectorBoard Member Jul 1, 2021

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Mercy Hospital Tishomingo IncTishomingo, OK, CCN 371304 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2021
Mercy Hospital Tishomingo IncTishomingo, OK, CCN 37Z304 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2021

Owned or controlled facilities with NPI records 2

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 1

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1932442019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-332-2323",
            "fax_number": "580-421-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-332-2323",
            "fax_number": "580-421-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL ADA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "HARMONING",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-220-6239"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Ada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Hospital Ada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.