MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1245277631

NPI Information

NPI: 1245277631
Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D1056626

Address:
3231 S NATIONAL AVE STE 220
SPRINGFIELD, MO
ZIP 65807
Phone: (855) 420-7900
Get Directions

MERCY CLINIC SPRINGFIELD COMMUNITIES is a family medicine in Springfield, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1245277631. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3231 S NATIONAL AVE STE 220
SPRINGFIELD, MO
ZIP 65807
Phone: (855) 420-7900
Fax: (417) 829-4316

The provider's authorized official is Stuart G Stangeland .
The authorized official title is Chief Operating Officer and has the following contact phone number (417) 820-3873.

The CLIA number assigned to this NPI record is 26D1056626 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/17/2018.

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
1	152W00000X	Optometrist		T002235	MISSOURI	No
2	152W00000X	Optometrist			MISSOURI	No
3	152WC0802X	Optometrist	Corneal and Contact Management	T002235	MISSOURI	No
4	156FX1800X	Technician/Technologist	Optician		MISSOURI	No
5	204E00000X	Oral & Maxillofacial Surgery				No
6	207KA0200X	Allergy & Immunology	Allergy			No
7	207LP2900X	Anesthesiology	Pain Medicine			No
8	207N00000X	Dermatology				No
9	207Q00000X	Family Medicine			MISSOURI	Yes
10	207R00000X	Internal Medicine			MISSOURI	No
11	207RH0003X	Internal Medicine	Hematology & Oncology		MISSOURI	No

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
1	507679405	MEDICAID	MISSOURI
2	CB9013	OTHER	MISSOURI	RR MDCR GRP. #
3	100713130A (GRP. #)	MEDICAID	OKLAHOMA
4	8P045	OTHER	MISSOURI	AR BLUE SHIELD GRP #-MO

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: 4/28/2024

NPI Synchronization or Removal

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