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NPI Code Detail

MEDICARE: MERCY HOSPITAL SPRINGFIELD

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
13416L0300XLand Ambulance077127MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558573410
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HOSPITAL SPRINGFIELD
Provider Business Mailing Address
First Line : 1235 E CHEROKEE ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-2203
Country : US
Telephone Number : 417-820-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1407 E SAINT LOUIS ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-3125
Country : US
Telephone Number : 417-820-5454
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT-FINANCE
Name : MR. WILLIAM J ROBERTS
Credential :
Telephone Number : 417-820-7363
Provider Enumeration Date : 05/04/2007
Last Update Date : 11/06/2025

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Directions to “MERCY HOSPITAL SPRINGFIELD ” Practice Location

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