MERCY HOSPITAL CARTHAGE (NPI# 1285904755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285904755 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL CARTHAGE |
| Other Organization Name | MERCY MCCUNE-BROOKS AMBULANCE |
| Practice Address |
3125 Dr Russell Smith Way Carthage MO 64836-7402 |
| Practice Telephone | 4173588121 |
| Mailing Telephone | 4173588121 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Authorized Official Name | MR. ROBERT COPELAND (CEO) |
| Authorized Official Telephone | 4173588121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800551806 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy McCune-Brooks Ambulance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1912392861 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1447591573 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2013-03-14 |
| 1861743627 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-09-19 |
| 1558628222 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-04-18 |
| 1285904342 | Mercy Hospital Carthage | Clinic/Center | 1911 Buena Vista Ave, Carthage, MO 64836 | 2012-01-06 |
| 1992074959 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Suite 101, Carthage, MO 64836 | 2011-12-21 |
| 1568731974 | Mercy Hospital Carthage | Home Health | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-14 |
| 1952679334 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-13 |
| 1396012753 | Mercy Hospital Carthage | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL CARTHAGE | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Street Address |
3125 DR RUSSELL SMITH WAY |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680666 | Aaron M. Petersen | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836-7402 | 2005-12-15 |
| 1417570821 | Meghan Metzger | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2020-05-20 |
| 1356825384 | Jill A Parmley | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-09-15 |
| 1003300286 | Mercy Carthage Anesthesia | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-06-20 |
| 1225587504 | Northstar Anesthesia of Kentucky II, Pllc | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-09-27 |
| 1710341250 | Ashley Diane Cobb | Dietitian, Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-04-11 |
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1912392861 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1992196778 | Annette Noel Mense | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2015-02-14 |
| 1982018727 | Jared Wade Nichols | Neuromusculoskeletal Medicine & OMM | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945809 | Carthage Area Rescue Squad Inc | Ambulance | 200 Riverside Dr, Carthage, NY 13619-1232 | 2005-10-10 |
| 1386642288 | Carthage Volunteer Fire Department of Rush County Inc | Ambulance | 208 S Main St, Carthage, IN 46115-9629 | 2005-07-13 |
| 1376643304 | Mccune-brooks Hospital | Ambulance | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748397 | Guardian Advantage LLC | Ambulance | 2089 Exchange Dr, Saint Charles, MO 63303-5988 | 2020-04-07 |
| 1316591035 | John Knox Village | Ambulance | 400 Nw Murray Rd, Lees Summit, MO 64081-1498 | 2019-07-31 |
| 1346637105 | Aps Ambulance, LLC | Ambulance | 2950 Nw Platte Rd, Riverside, MO 64150-9636 | 2015-04-20 |
| 1376982801 | Gateway Emergency Medical Transportation LLC | Ambulance | 8050 Watson Rd Ste 140, Saint Louis, MO 63119-5337 | 2013-06-18 |
| 1154617579 | Oregon County Ambulance District | Ambulance | 722 West Walnut St, Thayer, MO 65791-1277 | 2011-06-23 |
| 1396051207 | City of Olivette | Ambulance | 9473 Olive Blvd, Olivette, MO 63132-3131 | 2010-08-30 |
| 1467770438 | City of Frontenac | Ambulance | 10555 Clayton Rd, Frontenac, MO 63131-2915 | 2010-05-14 |
| 1205154002 | Agile Specialty Transportation, LLC | Ambulance | 320 Brookes Dr Ste 212, Hazelwood, MO 63042-2740 | 2010-05-04 |
| 1013199231 | Gateway Ambulance Service LLC | Ambulance | 1530 Fairview Ave, Saint Louis, MO 63132-1302 | 2007-11-29 |
| 1194929240 | East Carter County Volunteer Ambulance | Ambulance | Rt. 2 Box 2004, South Side Hwy. A At West City Limits, Ellsinore, MO 63937-0160 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
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| 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.