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NPI Code Detail

MEDICARE: MERCY HOSPITAL SPRINGFIELD

MEDICARE: MERCY HOSPITAL SPRINGFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency159-22MO
2251E00000XHome Health Agency15926HHMO
3251E00000XHome Health Agency15928HHMO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356410526
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HOSPITAL SPRINGFIELD
Provider Business Mailing Address
First Line : 1570 W BATTLEFIELD STREET
Second Line : SUITE 110
City : SPRINGFIELD
State : MO
Zip : 65807-4163
Country : US
Telephone Number : 417-820-7492
Fax Number : 417-820-5551
Provider Business Practice Location Address
First Line : 1210 DEADRA DR
Second Line :
City : LEBANON
State : MO
Zip : 65536-4669
Country : US
Telephone Number : 417-588-5900
Fax Number : 417-588-5911
Authorized Official
Title or Position : VICE PRESIDENT FINANCE
Name : SCOTT R REYNOLDS
Credential :
Telephone Number : 417-820-2818
Provider Enumeration Date : 11/06/2006
Last Update Date : 02/10/2012

Similar Medicare Providers

1023002805 — BREECH REGIONAL MEDICAL CENTER
Practice Location Address:
1200 DEADRA DR
LEBANON, MO
65536-4669
Practice Phone: 417-588-9330
Practice Fax: 417-588-0217
1336125822 — MARTHA J FRAZIER MA
Practice Location Address:
1216 DEADRA DR
LEBANON, MO
65536-4669
Practice Phone: 417-532-7102
Practice Fax: 417-532-6606
1306822515 — PHILIP V GIBLIN MSW, LCSW
Practice Location Address:
1216 DEADRA DR
LEBANON, MO
65536-4669
Practice Phone: 417-532-7102
Practice Fax: 417-532-6606
1922108422 — DR. RANDAL T QUALLS M.D.
Practice Location Address:
1216 DEADRA DR
LEBANON, MO
65536-4669
Practice Phone: 417-730-5650
Practice Fax: 417-730-5655
1669517249 — RUTH ROADY-MOSELEY LPC
Practice Location Address:
1216 DEADRA DR
LEBANON, MO
65536-4669
Practice Phone: 417-532-7102
Practice Fax: 417-532-6606
1962531855 — LISA MICHELLE DELANEY M.D.
Practice Location Address:
1216 DEADRA DR
LEBANON, MO
65536-4669
Practice Phone: 888-403-1071
Practice Fax:

Directions to “MERCY HOSPITAL SPRINGFIELD ” Practice Location

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