MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI# 1003946732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003946732 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC FAMILY MEDICINE-MOUNTAIN VIEW |
| Practice Address |
104 East Highway 60 Mountain View MO 65548 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4179342251 |
| Practice Fax Number | 4179342871 |
| Mailing Telephone | 4178202000 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | DR. ROBERT CAVAGNOL (CHIEF PHYSICIAN OFFICER) |
| Authorized Official Telephone | 4178202705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | R7838 | MO | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 112033 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
099760 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 592365415 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Family Medicine-Mountain View | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659785657 | Mercy Clinic Springfield Communities | Radiology | 11701 Bee Cave Pkwy, Suite 213, Bee Cave, TX 78738-6466 | 2014-06-17 |
| 1770612590 | Mercy Clinic Springfield Communities | Nurse Practitioner | 120 Hospital Dr Ste 350, Lebanon, MO 65536-9253 | 2007-03-05 |
| 1952437675 | Mercy Clinic Springfield Communities | Family Medicine | 18598 Business 13, Branson West, MO 65737 | 2007-02-26 |
| 1811065477 | Mercy Clinic Springfield Communities | Family Medicine | 9138 O'banion St, Birch Tree, MO 65438 | 2006-12-01 |
| 1538195508 | Mercy Clinic Springfield Communities | Family Medicine | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2006-06-23 |
| 1053347807 | Mercy Clinic Springfield Communities | Family Medicine | 100 Medical Cir, Green Forest, AR 72638-3802 | 2006-06-23 |
| 1740226091 | Mercy Clinic Springfield Communities | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2006-06-22 |
| 1881636884 | Mercy Clinic Springfield Communities | Psychologist | 1312 E Lark St, Springfield, MO 65804-7351 | 2006-06-12 |
| 1124069877 | Mercy Clinic Springfield Communities | Obstetrics & Gynecology | 613 Orchard Dr, Berryville, AR 72616-5013 | 2006-06-10 |
| 1245277631 | Mercy Clinic Springfield Communities | Internal Medicine | 3231 S National Ave Ste 220, Springfield, MO 65807 | 2006-06-02 |
| Street Address |
104 EAST HIGHWAY 60 |
| City | MOUNTAIN VIEW |
| State | MO |
| Zip Code | 65548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669430575 | Patricia Alexa Summerford | Nurse Practitioner | 104 East Highway 60, Mountain View, MO 65548-7381 | 2006-05-02 |
| 1063850584 | Mercy St Francis Hospital | Clinic/Center | 104 East Highway 60, Mountain View, MO 65548 | 2013-06-06 |
| 1871675702 | Michael K. Gaddy | Physician Assistant | 104 East Highway 60, Mountain View, MO 65548 | 2006-10-19 |
| 1780766618 | Coralee M. Thacker-thompson | Nurse Practitioner | 104 East Highway 60, Mountain View, MO 65548 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306294665 | Mary Elizabeth Waterhouse | Nurse Practitioner | 210 Jackson Street, Mountain View, MO 65548 | 2016-05-27 |
| 1245602598 | Rkj Holdings LLC | Pharmacy | 508-2 W. Us 60, Mountain View, MO 65548 | 2015-10-27 |
| 1790176881 | Willow Health Care Inc | Assisted Living Facility | 1211 N Ash, Mountain View, MO 65548 | 2015-02-10 |
| 1861545097 | Scott Keith Bowden | Dentist | 408#1 West Us Highway 60, Mountain View, MO 65548 | 2007-01-19 |
| 1366534455 | Russell S Schierling | Chiropractor | 1219 Hwy 17 South, Mountain View, MO 65548 | 2006-09-28 |
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1871570887 | Spartan Sleep Studies | Clinic/Center | 508-3 W Hwy 60, Mountain View, MO 65548 | 2005-12-30 |
| 1528275955 | St Francis Hospital | Durable Medical Equipment & Medical Supplies | 512-1 W Us Highway 60, Mountain View, MO 65548 | 2007-05-16 |
| 1851427892 | Ernesto L Carampatan | Emergency Medicine | 100 West Highway 60, Mountain View, MO 65548 | 2007-02-26 |
| 1043357015 | Mercy St. Francis Hospital | Medicare Defined Swing Bed Unit | 100 W Us Highway 60, Mountain View, MO 65548 | 2007-01-31 |
| Find all providers in zip 65548 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427595271 | Evanston Hospital Corporation | Clinic/Center | 531 Parkway Drive, Mountain View, WY 82939-0208 | 2017-01-31 |
| 1063850584 | Mercy St Francis Hospital | Clinic/Center | 104 East Highway 60, Mountain View, MO 65548 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 65548 |
Please comment or provide details below to improve the information on MERCY CLINIC SPRINGFIELD COMMUNITIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.