MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1134251929

NPI Information

  • NPI: 1134251929
  • Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 26D1003912
  • Address: 107 W ELDON ST
    SAINT JAMES, MO
    ZIP 65559
  • Phone: (573) 265-1818

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NPI Details

MERCY CLINIC SPRINGFIELD COMMUNITIES is a rural health clinic center in Saint James, MO. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1134251929. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

107 W ELDON ST
SAINT JAMES, MO
ZIP 65559
Phone: (573) 265-1818
Fax: (573) 265-1810

The provider's authorized official is Willliam Roberts .
The authorized official title is Cfo and has the following contact phone number (417) 820-7363.

The CLIA number assigned to this NPI record is 26D1003912 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/14/2025.

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
1207Q00000XFamily Medicine36072MISSOURINo
2363A00000XPhysician Assistant2005030570MISSOURINo
3261QR1300XClinic/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
1596035105MEDICAIDMISSOURI

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: 11/21/2025

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