| Organization Name: | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
| NPI Number: | 1275660847 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO) |
| Mailing Address: | 517 Coy Blvd Forsyth |
| State: | MO US |
| Postal Code: | 656535083 |
| Phone Number: | 4175462446 |
| Fax Number: | 4175464720 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 113864 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |