MERCY HOSPITAL LOGAN COUNTY, INC (NPI# 1659652071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659652071 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL LOGAN COUNTY, INC |
| Other Organization Name | MERCY HOSPITAL LOGAN COUNTY CRESCENT PRIMARY CARE |
| Practice Address |
400 S Grand Crescent OK 73028-9118 |
| Practice Telephone | 4059692818 |
| Mailing Telephone | 4059692818 |
| Enumeration Date | 2011-08-30 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PROVIDER # | 37-3990 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Hospital Logan County Crescent Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700169497 | Mercy Hospital Logan County, Inc | Medicare Defined Swing Bed Unit | 200 S Academy Rd, Guthrie, OK 73044-8727 | 2011-09-20 |
| 1184905507 | Mercy Hospital Logan County, Inc | Clinic/Center | 2919 S Division St, Guthrie, OK 73044-6806 | 2011-08-30 |
| Street Address |
400 S GRAND |
| City | CRESCENT |
| State | OK |
| Zip Code | 73028-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056662 | Stephen Ralph Travis | Internal Medicine | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| 1174719389 | Kyle N Lipke | Physician Assistant | 400 S Grand, Crescent, OK 73028-9118 | 2007-09-20 |
| 1497753487 | Logan Hospital and Medical Center Authority | Clinic/Center | 400 S Grand, Crescent, OK 73028 | 2005-07-13 |
| 1437157500 | Lee Curtis Rittenhouse | General Practice | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024774 | Crescent Dental Group Pllc | Dentist | 120 N Grand, Crescent, OK 73028 | 2019-03-29 |
| 1124197496 | Ambulance District of The Crescent School District | Ambulance | 120 W Monroe, Crescent, OK 73028 | 2006-11-08 |
| 1134135932 | Logsdon Lotz Drug Inc | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2006-08-01 |
| 1851952683 | Next Plan, LLC | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2019-06-24 |
| 1457633802 | Linda Carol Best | Nurse Practitioner | 613 W Van Buren, Crescent, OK 73028-0000 | 2011-09-12 |
| 1447459359 | Robert William Worden | Emergency Medicine | 315 South Grand, # 542, Crescent, OK 73028-0542 | 2007-07-12 |
| 1295178929 | Jocelyn Janea Humphrey | Speech-Language Pathologist | 11803 W Cooksey Rd, Crescent, OK 73028-8774 | 2013-04-11 |
| 1912447558 | Dana K Larue | Specialist | 14685 W Van Buren St, Crescent, OK 73028-8789 | 2017-03-01 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1205824463 | Crescent Manor Inc. | Nursing Facility/Intermediate Care Facility | 208 E Sanderson St, Crescent, OK 73028-9027 | 2005-10-12 |
| Find all providers in zip 73028 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753487 | Logan Hospital and Medical Center Authority | Clinic/Center | 400 S Grand, Crescent, OK 73028 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245744 | Baptist Healthcare of Oklahoma, LLC | Clinic/Center | 310 2nd Ave Sw Stes 101, 102, 103, 104, 106a, 106b, 107a, 107b, 203, 207 & 208, Miami, OK 74354-6743 | 2020-11-03 |
| 1275133993 | Integris Grove Hospital | Clinic/Center | 216 S 7th St Ste 1, Vinita, OK 74301-3720 | 2020-10-30 |
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1699385278 | Verdigris Valley Family Medicine LLC | Clinic/Center | 25965 S Highway 66 Ste B, Claremore, OK 74019-2468 | 2020-08-07 |
| 1538798897 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 201, Stillwater, OK 74074-4300 | 2020-04-07 |
| 1275161457 | Drumright Community Hospital LLC | Clinic/Center | 612 W Bypass, Drumright, OK 74030-5957 | 2020-04-01 |
| 1982237244 | Stillwater Medical Center Authority | Clinic/Center | 1116 Manvel Ave, Chandler, OK 74834-3856 | 2020-02-14 |
| 1366075616 | Stillwater Medical Center Authority | Clinic/Center | 505 E Highway 33, Perkins, OK 74059-4520 | 2020-02-14 |
| 1336772680 | Stillwater Medical Center Authority | Clinic/Center | 518 E Lakeview Rd, Stillwater, OK 74075-2825 | 2020-02-14 |
| 1447883780 | Stillwater Medical Center Authority | Clinic/Center | 600 S Linwood Ave Ste A, Cushing, OK 74023-4630 | 2020-02-14 |
| 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.