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MERCY CLINIC JOPLIN LLC NPI 1689090888


NPI Information

NPI: 1689090888
Provider Name: MERCY CLINIC JOPLIN LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3126 S JACKSON AVE
STE 200
JOPLIN, MO
ZIP 64804
Phone: (417) 625-2278
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MERCY CLINIC JOPLIN LLC is a prosthetic orthotic supplier in Joplin, MO. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MERCY CLINIC JOPLIN LLC NPI is 1689090888. The provider is registered as an organization entity type.

The provider's business location address is:

3126 S JACKSON AVE
STE 200
JOPLIN, MO
ZIP 64804-534
Phone: (417) 625-2278
Fax: (417) 625-2277

The provider's authorized official is Stuart G Stangeland .
The authorized official title is Authorized Official and has the following contact phone number (417) 820-3514.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/21/2014.


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
1335E00000XProsthetic/Orthotic SupplierYes

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
11215264817MEDICAIDMISSOURI
2MA2082MEDICARE 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: 4/28/2024

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