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NPI Code Detail

MEDICARE: MERCY CLINIC SPRINGFIELD COMMUNITIES

MEDICARE: MERCY CLINIC SPRINGFIELD COMMUNITIES
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
1332B00000XDurable Medical Equipment & Medical SuppliesMO

General Provider Information

NPI Number : 1518080225
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY CLINIC SPRINGFIELD COMMUNITIES
Provider Business Mailing Address
First Line : PO BOX 2580
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65801-2580
Country : US
Telephone Number : 417-829-4620
Fax Number : 417-829-4316
Provider Business Practice Location Address
First Line : 315 E CLEVELAND AVE
Second Line :
City : MONETT
State : MO
Zip : 65708-1704
Country : US
Telephone Number : 417-235-4334
Fax Number : 417-235-7459
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : DONN E. SORENSEN
Credential :
Telephone Number : 417-829-4264
Provider Enumeration Date : 04/09/2007
Last Update Date : 01/31/2012

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Directions to “MERCY CLINIC SPRINGFIELD COMMUNITIES ” Practice Location

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