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	333600000X	Pharmacy	005306	MO
2	3336S0011X	Specialty Pharmacy	005306	MO
3	3336M0002X	Mail Order Pharmacy	005306	MO
4	251F00000X	Home Infusion Agency

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	:	1477505816
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	:	65807-4174
Country	:	US
Telephone Number	:	417-820-5550
Fax Number	:	417-820-5551

Provider Business Practice Location Address
First Line	:	2115 S FREMONT AVE
Second Line	:	SUITE 5200
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-2239
Country	:	US
Telephone Number	:	417-820-7099
Fax Number	:	417-820-8178

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/29/2017

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1972590537 — MARK W GLOVER PSYCHOLOGIST
Practice Location Address:

2115 S FREMONT AVE , SUITE 3000
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-7708
Practice Fax: 417-820-7951

1134193642 — RONALD G JONES MD
Practice Location Address:

2115 S FREMONT AVE , STE 2900
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-3535
Practice Fax: 417-820-3540

1205898459 — DARIN C FINCHER PA-C
Practice Location Address:

2115 S FREMONT AVE , SUITE 5000
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-3960
Practice Fax: 417-820-3966

1578528840 — MRS. ALICIA MARIE INMON MSE, ATC, LAT
Practice Location Address:

2135 S FREMONT AVE
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-7990
Practice Fax: 417-820-8734

1134186901 — KEITH R. ALLEN M.D.
Practice Location Address:

2115 S FREMONT AVE , STE 5000
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-3960
Practice Fax:

Directions to “MERCY HOSPITAL SPRINGFIELD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.