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
1	3416L0300X	Land Ambulance	077127	MO

Other Identifiers

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

General Provider Information

NPI Number	:	1558573410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HOSPITAL SPRINGFIELD

Provider Business Mailing Address
First Line	:	1235 E CHEROKEE ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-2203
Country	:	US
Telephone Number	:	417-820-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1407 E SAINT LOUIS ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65802-3125
Country	:	US
Telephone Number	:	417-820-5454
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT-FINANCE
Name	:	MR. WILLIAM J ROBERTS
Credential	:
Telephone Number	:	417-820-7363

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	11/06/2025

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Directions to “MERCY HOSPITAL SPRINGFIELD ” Practice Location

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