MERCY HOSPITAL ADA, INC (NPI# 1003159187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003159187 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL ADA, INC |
| Other Organization Name | MERCY HOSPITAL ADA |
| Practice Address |
430 N Monte Vista St Ada OK 74820-4610 |
| Practice Telephone | 5803322323 |
| Practice Fax Number | 5804216054 |
| Mailing Telephone | 5803322323 |
| Mailing Fax Number | 5804216054 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | TRACY P ENLOE (CFO) |
| Authorized Official Telephone | 4057523161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Mercy Hospital Ada | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831533728 | Mercy Hospital Ada, Inc | Ambulance | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-04-22 |
| 1720422785 | Mercy Hospital Ada, Inc | Clinic/Center | 217 West Smith St, Stratford, OK 74872 | 2013-04-22 |
| 1932442019 | Mercy Hospital Ada, Inc | Rehabilitation Unit | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-03-27 |
| 1013250109 | Mercy Hospital Ada, Inc | Psychiatric Unit | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-03-27 |
| 1952643306 | Mercy Hospital Ada, Inc | General Acute Care Hospital | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-03-25 |
| Street Address |
430 N MONTE VISTA ST |
| City | ADA |
| State | OK |
| Zip Code | 74820-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187606 | Fionnuala M Gurley | Internal Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-01-04 |
| 1427693787 | Payton Elizabeth Mcadams | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-11-11 |
| 1033764378 | Shannon D Krueger | Registered Nurse | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-08-05 |
| 1609438159 | Mamie Alicia Thompson | Dietitian, Registered | 430 N Monte Vista St, Ada, OK 74820-4657 | 2019-07-05 |
| 1679135446 | Ada Valley Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-07-02 |
| 1609330968 | Justin Issac Rammage | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-01-30 |
| 1871085829 | Bradley Brown | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2018-06-05 |
| 1093240897 | Keerthana Anand | Family Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2017-04-29 |
| 1528426442 | Kevin Beaver | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2016-02-05 |
| 1295108751 | Nicole Smith | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865917 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Medicare Defined Swing Bed Unit | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2017-11-20 |
| 1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1710157532 | Valley View Hospital | Medicare Defined Swing Bed Unit | 430 N Monte Vista St, Ada, OK 74820-4610 | 2008-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568870921 | Seiling Municipal Hospital Authority | Medicare Defined Swing Bed Unit | Us Highway 60, Ne, Seiling, OK 73663 | 2014-07-30 |
| 1396988903 | Cah Acquisition Company 4 Inc | Medicare Defined Swing Bed Unit | 610 W Bypass, Drumright, OK 74030 | 2009-04-13 |
| 1265696090 | Sabine County Hospital District | Medicare Defined Swing Bed Unit | 120 W Macarthur St, Suite 121, Shawnee, OK 74804-2007 | 2008-07-10 |
| 1821269168 | Creek Nation Hospital & Clinics | Medicare Defined Swing Bed Unit | 309 North 14th Street, Okemah, OK 74859-2028 | 2008-03-14 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1588733828 | Ahs Henryetta Hospital LLC | Medicare Defined Swing Bed Unit | Dewey, Bartlett and Main, Henryetta, OK 74437 | 2006-11-08 |
| 1396832804 | Okeene Municipal Hospital and Schallmo Authority | Medicare Defined Swing Bed Unit | 207 East F Street, Okeene, OK 73763-0489 | 2006-10-06 |
| 1366412744 | Sayre Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 911 Hospital Drive, Sayre, OK 73662-1206 | 2006-01-26 |
| 1578185377 | Haskell Regional Hospital, Inc. | Medicare Defined Swing Bed Unit | 401 Nw H St, Stigler, OK 74462-1625 | 2020-05-14 |
| 1982233466 | Rural Wellness Fairfax Inc | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.