MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI# 1134251929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134251929 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC FAMILY MEDICINE-ST. JAMES |
| Practice Address |
107 W Eldon St Saint James MO 65559 |
| Mailing Address |
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 |
| Practice Telephone | 5732651818 |
| Practice Fax Number | 5732651810 |
| Mailing Telephone | 4178207133 |
| Mailing Fax Number | 4178200586 |
| Enumeration Date | 2007-03-09 |
| 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 | 36072 | MO | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 2005030570 | 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 | 596035105 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Family Medicine-St. James | 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 |
107 W ELDON ST |
| City | SAINT JAMES |
| State | MO |
| Zip Code | 65559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861490773 | Sandra Kay Dempsey | Physician Assistant | 107 W Eldon St, Saint James, MO 65559-1903 | 2005-07-13 |
| 1548467012 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 107 W Eldon St, Saint James, MO 65559-1903 | 2007-06-28 |
| 1700935459 | Grace S. Beaumont | Family Medicine | 107 W Eldon St, Saint James, MO 65559-1903 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033605282 | Sarah Curtis | Speech-Language Pathologist | 620 N. Jefferson St., St. James, MO 65559 | 2018-07-10 |
| 1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
| 1346490638 | Diana Brandt | Physical Therapist | 115 E. Springfield, St. James, MO 65559 | 2008-09-24 |
| 1336346147 | Angela Michelle Taylor | Counselor | 32151 County Road 3610, St. James, MO 65559 | 2007-06-27 |
| 1790839850 | Donna L Rippelmeyer | Social Worker | 104 N Jefferson, St James, MO 65559 | 2007-01-23 |
| 1689735128 | Christine G Durbin | Nurse Practitioner | 1000 N. Jefferson St, Saint James, MO 65559 | 2006-12-12 |
| 1730250762 | Forest City Health Mart Pharmacy | Pharmacist | 1000 B N Jefferson, Saint James, MO 65559 | 2006-11-13 |
| 1659440014 | Jesus Martinez | Social Worker | 13160 County Rd. 3610, St. James, MO 65559 | 2006-11-07 |
| 1790895100 | St. James Ambulance District | Ambulance | 203 S. Louise, St. James, MO 65559 | 2006-08-30 |
| 1811910052 | Susanna Heike White | Counselor | 13160 Cty Rd 3610, St. James, MO 65559 | 2006-07-26 |
| Find all providers in zip 65559 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940555 | Mayo Clinic Health System-st James | Clinic/Center | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2020-10-20 |
| 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 | SAINT JAMES |
| Zip Code | 65559 |
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.