MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1053350454

NPI Information

  • NPI: 1053350454
  • Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 290 CLIFT CT
    HOLLISTER, MO
    ZIP 65672
  • Phone: (417) 829-4620

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NPI Details

MERCY CLINIC SPRINGFIELD COMMUNITIES is a family medicine in Hollister, 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 1053350454. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

290 CLIFT CT
HOLLISTER, MO
ZIP 65672-947
Phone: (417) 829-4620
Fax: (417) 829-4316

The provider's authorized official is Donn E. Sorensen .
The authorized official title is Senior Vice President Coo and has the following contact phone number (417) 820-6556.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/11/2013.

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
1207R00000XInternal MedicineNo
2152W00000XOptometristT03477MISSOURINo
3152WC0802XOptometristCorneal and Contact ManagementT03477MISSOURINo
4207Q00000XFamily MedicineYes

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
1CB9013OTHERMISSOURITRAVELERS/RR MEDICARE
2000013230MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMDCR GRP. #
3502606502MEDICAIDMISSOURI
4000013230MEDICARE PINMISSOURI

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: 3/30/2025

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