| Organization Name: | MERCY HOSPITAL CARTHAGE |
| NPI Number: | 1003201955 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT COPELAND (PRESIDENT - CARTHAGE) |
| Mailing Address: | 3125 Dr Russell Smith Way Carthage |
| State: | MO US |
| Postal Code: | 648367402 |
| Phone Number: | 4173588121 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2015 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |