National Provider Identifier Database

MERCY HOSPITAL CARTHAGE
Critical Access

Contact Information

MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO  64836
Phone: 417-358-8121
Fax:
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Cardiovascular Disease 207RC0000X
Emergency Medicine 207P00000X
Land Transport 3416L0300X
Neurology 2084N0400X
Pain Medicine 208VP0000X
Rheumatology 207RR0500X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for MERCY HOSPITAL CARTHAGE

NPI Number 1003201955
Legal business name
LBN		 MERCY HOSPITAL CARTHAGE
Authorized official SHERRY CLOUSE DAY - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/30/2015
Last updated 09/17/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 523-4
  • AR Medicaid: 203923105
  • KS Medicaid: 200972980A
  • MO Medicaid: 01067090
  • OK Medicaid: 200446020A

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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