Healthcare Provider Details

I. General information

NPI: 1285904342
Provider Name (Legal Business Name): MERCY HOSPITAL CARTHAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 HAZEL AVE
CARTHAGE MO
64836-3020
US

IV. Provider business mailing address

1615 HAZEL AVE
CARTHAGE MO
64836-3020
US

V. Phone/Fax

Practice location:
  • Phone: 417-237-0983
  • Fax:
Mailing address:
  • Phone: 417-237-0983
  • Fax: 417-237-0997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERRY LYNN CLOUSE DAY
Title or Position: VP FINANCE MERCY CAH
Credential:
Phone: 417-820-8439