MERCY PHYSICIAN GROUP; NPI #1457344301

Contact Information

MERCY PHYSICIAN GROUP

403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701-8798

Phone: 620-223-8040
Fax: 620-223-8524
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for MERCY PHYSICIAN GROUP

NPI # 1457344301

LBN Legal business name MERCY PHYSICIAN GROUP

Authorized official SARA RAGSDALE - (FAMILY PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/25/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

05-28424

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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