MEDICARE: MERCY ST FRANCIS HOSPITAL

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
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1548608748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY ST FRANCIS HOSPITAL

Provider Business Mailing Address
First Line	:	1422 S SAM HOUSTON BLVD
Second Line	:
City	:	HOUSTON
State	:	MO
Zip	:	65483-2130
Country	:	US
Telephone Number	:	417-967-4445
Fax Number	:

Provider Business Practice Location Address
First Line	:	1422 S SAM HOUSTON BLVD
Second Line	:
City	:	HOUSTON
State	:	MO
Zip	:	65483-2130
Country	:	US
Telephone Number	:	417-967-4445
Fax Number	:

Authorized Official
Title or Position	:	VP-FINANCE
Name	:	MR. SCOTT REYNOLDS
Credential	:
Telephone Number	:	417-820-2818

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	06/10/2013

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Directions to “MERCY ST FRANCIS HOSPITAL ” Practice Location

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