MERCY CLINIC-SPRINGFIELD COMMUNITIES (NPI# 1487783296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487783296 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC FAMILY MEDICINE-HOUSTON |
| Practice Address |
1422 S Sam Houston Blvd Houston MO 65483 |
| Mailing Address |
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 |
| Practice Telephone | 4179674445 |
| Practice Fax Number | 4179674453 |
| Mailing Telephone | 4178207133 |
| Mailing Fax Number | 4178200586 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Telephone | 4178203873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2005013261 | MO | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
130675 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
119291 | 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 | 597932607 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Family Medicine-Houston | 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 |
| 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 |
1422 S SAM HOUSTON BLVD |
| City | HOUSTON |
| State | MO |
| Zip Code | 65483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093286619 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| 1548731169 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| 1407352594 | Brigitte Shaffer | Nurse Practitioner | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-04-05 |
| 1174973879 | Michel Anderson | Nurse Practitioner | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2016-06-14 |
| 1548608748 | Mercy St Francis Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1942657606 | Community Counseling Services of Missouri, L.L.C. | Counselor | 1591 C North Highway 63, Houston, MO 65483 | 2016-05-23 |
| 1083081681 | Vicky Birdsong | Registered Nurse | 1597 North Hwy 63, Houston, MO 65483 | 2015-08-31 |
| 1578794525 | Mary Jane Lybyer | Speech-Language Pathologist | 423 W. Pine, Houston, MO 65483 | 2009-08-06 |
| 1851530257 | Womack Chiropractic Center, PC | Chiropractor | 118 W. Main St., Houston, MO 65483 | 2009-02-10 |
| 1588793459 | Houston R-1 School District | Local Education Agency (LEA) | 204 W. Spruce, Houston, MO 65483 | 2007-03-05 |
| 1164587770 | Texas County Memorial Hospital | Pharmacy | 1422 S Sam Houston Blvd Ste 100, Houston, MO 65483 | 2006-12-26 |
| 1336226513 | Deborah Belt-kell | Counselor | Tcmh Annex - Mental Health, 1333 S Sam Houston Blvd, Houston, MO 65483 | 2006-11-01 |
| 1164483921 | Christopher O Baldwin | Obstetrics & Gynecology | 1337 S Sam Houston Blvd, Houston, MO 65483 | 2006-03-31 |
| 1356324727 | Texas County Memorial Hospital | Home Health | 1422 S Sam Houston Blvd Ste 200, Houston, MO 65483 | 2005-11-21 |
| Find all providers in zip 65483 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548731169 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| 1073920328 | Pontotoc Health Services, Inc. | Clinic/Center | 208 Country Club Rd, Houston, MS 38851-9326 | 2014-07-18 |
| 1548608748 | Mercy St Francis Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2013-06-10 |
| 1710004486 | Texas County Memorial Hospital | Clinic/Center | 1337 S Sam Houston Blvd, Suite 200, Houston, MO 65483-2046 | 2007-03-26 |
| 1063539732 | Texas County Memorial Hospital | Clinic/Center | 1335 S Sam Houston Blvd, Houston, MO 65483-2046 | 2007-03-26 |
| 1194833400 | Southern Health Corp. of Houston, Inc. | Clinic/Center | 1002 E Madison St, Houston, MS 38851-2417 | 2006-08-27 |
| 1083721732 | Southern Health Corp. of Houston, Inc | Clinic/Center | 105 Hillcrest Dr, Houston, MS 38851-2430 | 2006-08-25 |
| 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 |
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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.