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MERCY CLINIC-SPRINGFIELD COMMUNITIES NPI 1306042536


NPI Information

NPI: 1306042536
Provider Name: MERCY CLINIC-SPRINGFIELD COMMUNITIES

Doing Business As: MERCY CLINIC-FAMILY MEDICINE-E. KEARNEY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 26D0678346

Address:
1640 E KEARNEY ST
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 863-9190
Get Directions

MERCY CLINIC-SPRINGFIELD COMMUNITIES is a durable medical equipment medical supplies in Springfield, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MERCY CLINIC-SPRINGFIELD COMMUNITIES NPI is 1306042536. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Clinic-family Medicine-e. Kearney.

The provider's business location address is:

1640 E KEARNEY ST
SPRINGFIELD, MO
ZIP 65803-106
Phone: (417) 863-9190
Fax: (417) 863-9073

The provider's authorized official is Donn E. Sorensen .
The authorized official title is Senior Vice President and has the following contact phone number (417) 829-4264.

The CLIA number assigned to this NPI record is 26D0678346 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 2/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesMISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10472580028MEDICARE NSCMISSOURI

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

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