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MERCY CLINIC-SPRINGFIELD COMMUNITIES NPI 1407913676


NPI Information

NPI: 1407913676
Provider Name: MERCY CLINIC-SPRINGFIELD COMMUNITIES

Doing Business As: MERCY CLINIC-SMITH GLYNN CALLAWAY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3231 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 883-7422
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 1407913676. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic-smith Glynn Callaway.

The provider's business location address is:

3231 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-304
Phone: (417) 883-7422

The provider's authorized official is Donn Sorensen .
The authorized official title is Chief Operating Officer and has the following contact phone number (417) 829-4264.

The enumeration date for this NPI number is 1/3/2007 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
1152W00000XOptometristT002235MISSOURINo
2207K00000XAllergy & Immunology105723MISSOURINo
3207N00000XDermatologyR8F16MISSOURINo
4207R00000XInternal MedicineR3B79MISSOURINo
5207RP1001XInternal MedicinePulmonary DiseaseR9348MISSOURINo
6207RR0500XInternal MedicineRheumatologyR8331MISSOURINo
7207V00000XObstetrics & Gynecology108358MISSOURINo
8208000000XPediatricsR5004MISSOURINo
9332B00000XDurable Medical Equipment & Medical Supplies102991MISSOURIYes

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
10472580007MEDICARE 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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