| Mercy Health Network Of The Southern Region, Inc. | |
|
1152 Us Highway 70a Wilson OK 73463-1482 | |
| (580) 668-2882 | |
| (580) 668-2772 |
| Full Name | Mercy Health Network Of The Southern Region, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1152 Us Highway 70a, Wilson, Oklahoma |
| Authorized Official Name and Position | Bobby G. Thompson (PRESIDENT & CEO) |
| Authorized Official Contact | 5802206611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Network Of The Southern Region, Inc. 4401 W Memorial Rd Suite #141, Attention Becky Oklahoma City OK 73134-1785 Ph: (405) 936-5800 | Mercy Health Network Of The Southern Region, Inc. 1152 Us Highway 70a Wilson OK 73463-1482 Ph: (580) 668-2882 |
| NPI Number | 1891862868 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891862868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |