Organization Name: | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
NPI Number: | 1245533223 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART G. STANGELAND (EXECUTIVE VICE PRESIDENT, COO) |
Mailing Address: | 1065 State Highway 248 Suite 200 Branson |
State: | MO US |
Postal Code: | 656168398 |
Phone Number: | 4173375000 |
Fax Number: | 4173341761 |
NPI Enumeration Date: | 12/13/2010 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |