MERCY CLINIC-SPRINGFIELD COMMUNITIES (NPI# 1053444000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053444000 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC FAMILY MEDICINE-SUMMERSVILLE |
| Practice Address |
149 Rogers Ave Summersville MO 65571 |
| Mailing Address |
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 |
| Practice Telephone | 4179324119 |
| Practice Fax Number | 4179324838 |
| Mailing Telephone | 4178207133 |
| Mailing Fax Number | 4178200586 |
| Enumeration Date | 2007-03-13 |
| 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 |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 595813809 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Family Medicine-Summersville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811028723 | Mercy Clinic-springfield Communities | Family Medicine | 1605 Martin Springs Dr Ste 210, Rolla, MO 65401-3028 | 2007-03-09 |
| 1487783296 | Mercy Clinic-springfield Communities | Family Medicine | 1422 S Sam Houston Blvd, Houston, MO 65483 | 2007-03-05 |
| 1275660847 | Mercy Clinic-springfield Communities | Nurse Practitioner | 517 Coy Blvd, Forsyth, MO 65653-5083 | 2007-02-28 |
| 1245533223 | Mercy Clinic-springfield Communities | Family Medicine | 1065 State Highway 248, Suite 200, Branson, MO 65616-8398 | 2010-12-13 |
| 1083924294 | Mercy Clinic-springfield Communities | Nurse Practitioner | 1000 W Trimble Ave, Berryville, AR 72616-4603 | 2010-10-21 |
| 1104137876 | Mercy Clinic-springfield Communities | Clinic/Center | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2010-06-28 |
| 1659505576 | Mercy Clinic-springfield Communities | Durable Medical Equipment & Medical Supplies | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2009-05-06 |
| 1578735411 | Mercy Clinic-springfield Communities | Durable Medical Equipment & Medical Supplies | 511 Bee Creek Rd, Branson, MO 65616-7734 | 2008-04-01 |
| 1144498528 | Mercy Clinic-springfield Communities | Clinic/Center | 260 Terrace Rd, Branson, MO 65616-8909 | 2008-02-19 |
| 1528265188 | Mercy Clinic-springfield Communities | Durable Medical Equipment & Medical Supplies | 2120 W Kearney St, Springfield, MO 65803-1653 | 2007-06-28 |
| Street Address |
149 ROGERS AVE |
| City | SUMMERSVILLE |
| State | MO |
| Zip Code | 65571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684945 | Cody Whittington | Nurse Practitioner | 149 Rogers Ave, Summersville, MO 65571 | 2019-11-19 |
| 1912345117 | Mercy St Francis Hospital | Clinic/Center | 149 Rogers Ave, Summersville, MO 65571 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205316767 | Regional Services | Nurse Practitioner | 525 Rogers Ave, Summersville, MO 65571 | 2018-08-15 |
| 1790085447 | Summersville R-ii School District | Local Education Agency (LEA) | 525 Rogers Ave, Summersville, MO 65571-0198 | 2010-10-28 |
| 1821113408 | Pine View Christian Home | Day Training, Developmentally Disabled Services | 4281 Highway 17, Summersville, MO 65571-8204 | 2007-03-20 |
| 1770608291 | Pine View Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4281 Highway 17, Summersville, MO 65571-8204 | 2007-03-21 |
| 1477945483 | Candace Lehman | Licensed Practical Nurse | 173 Richards St, Summersville, MO 65571-8702 | 2015-02-27 |
| 1538108253 | Texas County Memorial Hospital | Clinic/Center | 805 2nd St, Summersville, MO 65571-8714 | 2006-06-06 |
| 1023579489 | Certified On-site Health Care LLC | Clinic/Center | 805 2nd St, Summersville, MO 65571-8714 | 2019-03-28 |
| 1265822035 | Pearl Ann Smotherman | Nurse Practitioner | 805 2nd St, Summersville, MO 65571-8714 | 2015-01-30 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579689 | Charleston Area Medical Center, Inc. | Clinic/Center | 702 Professional Park Dr Ste 102, Summersville, WV 26651-2033 | 2020-08-20 |
| 1548728553 | West Virginia Health Care Cooperative Inc | Clinic/Center | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-08 |
| 1912345117 | Mercy St Francis Hospital | Clinic/Center | 149 Rogers Ave, Summersville, MO 65571 | 2013-06-10 |
| 1407031446 | Summersville Regional Medical Center | Clinic/Center | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2008-01-09 |
| 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 | SUMMERSVILLE |
| Zip Code | 65571 |
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.