MERCY CLINIC SPRINGFIELD COMMUNITIES; NPI #1629103502

Contact Information

MERCY CLINIC SPRINGFIELD COMMUNITIES

118 W DALLAS ST
BUFFALO, MO 65622

Phone: 417-345-6101
Fax: 417-345-6913
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI # 1629103502

LBN Legal business name MERCY CLINIC SPRINGFIELD COMMUNITIES

Authorized official WILLIAM ROBERTS - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/22/2007

Last updated 07/24/2023 - About 3 years ago

Identifiers

MO	License #	076409
MO	License #	103167
MO	License #	141415
MO	Medicaid	595813908

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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MERCY CLINIC SPRINGFIELD COMMUNITIES

Contact Information

Specialty

Rural Health

Family

Family Medicine

NPI Profile & details for MERCY CLINIC SPRINGFIELD COMMUNITIES

Reviews for MERCY CLINIC SPRINGFIELD COMMUNITIES