=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023053477
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERCY ST. FRANCIS HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2006
-----------------------------------------------------
Last Update Date | 09/16/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 WEST HIGHWAY 60
-----------------------------------------------------
City | MOUNTAIN VIEW
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 417-934-7000
-----------------------------------------------------
Fax | 417-934-7197
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 WEST HIGHWAY 60
-----------------------------------------------------
City | MOUNTAIN VIEW
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65548-0082
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 417-934-7000
-----------------------------------------------------
Fax | 417-934-7197
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | SHERRY CLOUSEDAY
-----------------------------------------------------
Credential | AO
-----------------------------------------------------
Telephone | 417-820-8439
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282NC0060X
-----------------------------------------------------
Taxonomy Name | Critical Access Hospital
-----------------------------------------------------
License Number | 447-7
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------