MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1457363806

NPI Information

MERCY CLINIC SPRINGFIELD COMMUNITIES is a rural health clinic center in Rolla, MO. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1457363806. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic-rolla-internal Medicine.

The provider's business location address is:

1605 MARTIN SPRINGS DR
SUITE 260
ROLLA, MO
ZIP 65401-931
Phone: (573) 458-6358
Fax: (573) 458-6464

The provider's authorized official is Stuart Stangeland .
The authorized official title is Chief Operating Officer and has the following contact phone number (417) 820-6556.

The CLIA number assigned to this NPI record is 26D0446842 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 4/7/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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