MERCY CLINIC SPRINGFIELD COMMUNITIES NPI 1811065477

NPI Information

  • NPI: 1811065477
  • Provider Name: MERCY CLINIC SPRINGFIELD COMMUNITIES
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: MERCY CLINIC FAMILY MEDICINE-BIRCH TREE
  • Address: 9138 O'BANION ST
    BIRCH TREE, MO
    ZIP 65438
  • Phone: (573) 292-3213

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NPI Details

MERCY CLINIC SPRINGFIELD COMMUNITIES is a rural health clinic center in Birch Tree, MO. MERCY CLINIC SPRINGFIELD COMMUNITIES NPI is 1811065477. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic Family Medicine-birch Tree.

The provider's business location address is:

9138 O'BANION ST
BIRCH TREE, MO
ZIP 65438
Phone: (573) 292-3213
Fax: (573) 292-4442

The provider's authorized official is Robert Cavagnol .
The authorized official title is Chief Physician Officer and has the following contact phone number (417) 820-2705.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 5/14/2019.

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 MedicineR7838MISSOURINo
2261QR1300XClinic/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
1592365407MEDICAIDMISSOURI

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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