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	332B00000X	Durable Medical Equipment & Medical Supplies

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427002963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HOSPITAL SPRINGFIELD

Provider Business Mailing Address
First Line	:	1570 W BATTLEFIELD ST
Second Line	:	SUITE 110
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-4163
Country	:	US
Telephone Number	:	417-820-5550
Fax Number	:	417-820-5551

Provider Business Practice Location Address
First Line	:	512-1 W US HIGHWAY 60
Second Line	:
City	:	MOUNTAIN VIEW
State	:	MO
Zip	:	65548-8316
Country	:	US
Telephone Number	:	417-934-5699
Fax Number	:	417-934-5779

Authorized Official
Title or Position	:	VICE PRESIDENT FINANCE
Name	:	SCOTT R REYNOLDS
Credential	:
Telephone Number	:	417-820-2818

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	02/13/2012

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Directions to “MERCY HOSPITAL SPRINGFIELD ” Practice Location

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