| Organization Name: | MERCY PHYSICIAN GROUP |
| NPI Number: | 1457344301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARA K RAGSDALE (FAMILY PHYSICIAN) |
| Mailing Address: | 403 Woodland Hills Blvd Fort Scott |
| State: | KS US |
| Postal Code: | 667018798 |
| Phone Number: | 6202238040 |
| Fax Number: | 6202238524 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 05-28424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |