National Provider Identifier Database

MERCY CLINIC SPRINGFIELD COMMUNITIES
Rural Health


Contact Information

MERCY CLINIC SPRINGFIELD COMMUNITIES
608 CITY ROUTE 66
SAINT ROBERT, MO65584
Phone: 573-336-5100
Fax: 573-336-3118
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family 363LF0000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI Number 1770616781
Legal business name
LBN
MERCY CLINIC SPRINGFIELD COMMUNITIES
Authorized official WILLIAM ROBERTS - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/13/2007
Last updated 10/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 095237
  • MO License #: 2003017261
  • MO Medicaid: 593363005

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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