MEDICARE: MERCY HOSPITAL JOPLIN

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	N/A

General Provider Information

NPI Number	:	1205162732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HOSPITAL JOPLIN

Provider Business Mailing Address
First Line	:	2550 LUSK DR
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850-8855
Country	:	US
Telephone Number	:	417-451-2060
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 LUSK DR
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850
Country	:	US
Telephone Number	:	417-451-2060
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE
Name	:	DOUGLAS FAST
Credential	:
Telephone Number	:	417-556-2936

Provider Enumeration Date	:	10/17/2009
Last Update Date	:	02/05/2026

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Directions to “MERCY HOSPITAL JOPLIN ” Practice Location

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