MERCY HOSPITAL TISHOMINGO, INC. (NPI# 1932404431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932404431 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL TISHOMINGO, INC. |
| Other Organization Name | MERCY HOSPITAL TISHOMINGO |
| Practice Address |
1000 S Byrd St Tishomingo OK 73460-3265 |
| Practice Telephone | 5803712327 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | TRACY ENLOE (CFO) |
| Authorized Official Telephone | 4057523161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| Mercy Hospital Tishomingo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578868121 | Mercy Hospital Tishomingo, Inc. | Medicare Defined Swing Bed Unit | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL TISHOMINGO, INC. | 1000 S Byrd St, Tishomingo, OK 73460-3265 |
| Street Address |
1000 S BYRD ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108168 | Laura Anne Walgren | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-03-14 |
| 1376036616 | Elizabeth Morgan Haddock | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460 | 2018-06-12 |
| 1154747384 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2014-03-12 |
| 1972809002 | Mercy Hospital Tishomingo, Inc | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-02-08 |
| 1578868121 | Mercy Hospital Tishomingo, Inc. | Medicare Defined Swing Bed Unit | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-12 |
| 1356544399 | Acadiana Healthcare of Oklahoma, Inc. | General Acute Care Hospital | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-06-07 |
| 1588875504 | Johnston County Hospital LLC | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-05-24 |
| 1659305274 | Samuel Jerry Tucker | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508814310 | Rha Tishomingo LLC | General Acute Care Hospital | 1000 South Byrd, Tishomingo, OK 73460-3265 | 2006-05-04 |
| 1174701080 | Rha Tishomingo LLC | General Acute Care Hospital | 1000 South Byrd, Tishomingo, OK 73460-3265 | 2008-02-01 |
| 1356544399 | Acadiana Healthcare of Oklahoma, Inc. | General Acute Care Hospital | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285047779 | Cordell Hospital Authority | General Acute Care Hospital | 1109 N Glenn L. English St, Cordell, OK 73632-2010 | 2014-06-03 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427234566 | Tulsa Hospitalists | General Acute Care Hospital | 15608 Traditions Dr, Edmond, OK 73013-1150 | 2008-01-19 |
| 1942486733 | Mercy Hospital of Pittsburgh | General Acute Care Hospital | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2008-01-11 |
| 1053447086 | Jane Phillips Nowata Health Center | General Acute Care Hospital | 237 S Locust St, Nowata, OK 74048-3660 | 2007-02-26 |
| 1073617619 | Seiling Municipal Hospital Authority | General Acute Care Hospital | Hwy 60, Ne, Seiling, OK 73663 | 2006-09-12 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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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.