MERCY CLINIC-SPRINGFIELD COMMUNITIES (NPI# 1104137876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104137876 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC FAMILY MEDICINE-SHELL KNOB |
| Practice Address |
22361 Oak Ridge Dr Shell Knob MO 65747-7822 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178583731 |
| Practice Fax Number | 4178582562 |
| Mailing Telephone | 4178202000 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | STUART G. STANGELAND (SENIOR VICE PRESIDENT, COO) |
| Authorized Official Telephone | 4178206556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RURAL HEALTH MEDICAID | 1104137876 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Family Medicine-Shell Knob | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053444000 | Mercy Clinic-springfield Communities | Family Medicine | 149 Rogers Ave, Summersville, MO 65571 | 2007-03-13 |
| 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 |
| 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 |
22361 OAK RIDGE DR |
| City | SHELL KNOB |
| State | MO |
| Zip Code | 65747-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527873 | Patrick B. Harr | Family Medicine | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2005-06-09 |
| 1437705001 | Michelle Gail O'connell | Nurse Practitioner | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2019-08-10 |
| 1194254664 | Jillian A Hodge | Registered Nurse | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2017-06-08 |
| 1982008827 | Kristi Ross | Nurse Practitioner | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639287600 | Kerry Duane Cox | Family Medicine | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-08-29 |
| 1518980986 | Shell Knob Pharmacy LLC | Pharmacy | 24875 State Hwy 39, Shell Knob, MO 65747 | 2006-07-25 |
| 1538334396 | Lester E. Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Ste 301, Shell Knob, MO 65747 | 2008-04-23 |
| 1750456281 | Regional Services | Clinic/Center | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-11-21 |
| 1144312497 | Lester E Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Suite 301, Shell Knob, MO 65747 | 2006-09-28 |
| 1265590053 | William R. Chism Od PC | Optometrist | Bridgeway Plaza, Shell Knob, MO 65747-0189 | 2006-12-05 |
| 1154334977 | Cynthia C Hughes | Family Medicine | 25376 State Highway 39, #301, Shell Knob, MO 65747-7343 | 2006-08-14 |
| 1962499830 | Georgann Marie Greissinger | Nurse Practitioner | 25376 State Hwy 39, #301, Shell Knob, MO 65747-7343 | 2005-10-05 |
| 1215396635 | Cox-monett Hospital Inc | Family Medicine | 25376 State Highway 39, Suite 301, Shell Knob, MO 65747-7343 | 2016-02-12 |
| 1629468103 | Brian K. Leach Dds LLC | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2015-02-04 |
| Find all providers in zip 65747 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750456281 | Regional Services | Clinic/Center | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-11-21 |
| 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 | SHELL KNOB |
| Zip Code | 65747 |
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.