Healther Providers Data Logo


Provider Type Icon

MERCY CLINIC JOPLIN LLC NPI 1750618351


NPI Information

NPI: 1750618351
Provider Name: MERCY CLINIC JOPLIN LLC

Doing Business As: MERCY CLINIC COLUMBUS-FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 26D2133670

Address:
101 W SYCAMORE ST
COLUMBUS, KS
ZIP 66725
Phone: (620) 429-3636
Get Directions

MERCY CLINIC JOPLIN LLC is a rural health clinic center in Columbus, KS. MERCY CLINIC JOPLIN LLC NPI is 1750618351. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Clinic Columbus-family Medicine.

The provider's business location address is:

101 W SYCAMORE ST
COLUMBUS, KS
ZIP 66725
Phone: (620) 429-3636

The provider's authorized official is Tracy A Godfrey .
The authorized official title is President and has the following contact phone number (417) 556-8962.

The CLIA number assigned to this NPI record is 26D2133670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2009 and was last updated on 6/11/2018.


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
1261QR1300XClinic/CenterRural HealthKANSASYes

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
1200639810EMEDICAIDKANSAS
21750618351OTHERKANSASKANSAS BLUE CROSS
3615149203OTHERKANSASDEPARTMENT OF LABOR (OWCP-FECA)
41750618351MEDICAIDMISSOURI

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: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »