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MERCY CLINIC-SPRINGFIELD COMMUNITIES NPI 1144498528


NPI Information

NPI: 1144498528
Provider Name: MERCY CLINIC-SPRINGFIELD COMMUNITIES

Doing Business As: MERCY CLINIC FAMIL MEDICINE-BRANSON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 26D1020191

Address:
260 TERRACE RD
BRANSON, MO
ZIP 65616
Phone: (417) 336-2273
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MERCY CLINIC-SPRINGFIELD COMMUNITIES is a rural health clinic center in Branson, MO. MERCY CLINIC-SPRINGFIELD COMMUNITIES NPI is 1144498528. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Clinic Famil Medicine-branson.

The provider's business location address is:

260 TERRACE RD
BRANSON, MO
ZIP 65616-909
Phone: (417) 336-2273
Fax: (417) 334-3609

The provider's authorized official is Stuart G. Stangeland .
The authorized official title is Senior Vice President/coo and has the following contact phone number (417) 820-6556.

The CLIA number assigned to this NPI record is 26D1020191 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 4/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthMISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11144498528OTHERMISSOURIRURAL HEALTH MEDICAID
2263818MEDICARE OSCAR/CERTIFICATIONMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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