OrganizationActive
Mercy Health Canadian County Ambulatory Surgical Center LLC
NPI 1639196355 · Ambulatory Surgical Clinic/Center · Yukon, OK
Provider details
- NPI number
- 1639196355
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Diana Smalley, President & Ceo
- License
- 0060 (OK)
Practice location
520 S Mustang Rd
Suite S
Yukon, OK 73099-6737
Phone: (405) 936-5900
Fax: (405) 577-2032
Mailing address
4401 W Memorial Rd
Oklahoma City, OK 73134-1785
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2007-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.