MERCY CLINIC JOPLIN, LLC (NPI# 1740517341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740517341 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC JOPLIN, LLC |
| Other Organization Name | MERCY CLINIC-OSWEGO-FAMILY MEDICINE |
| Practice Address |
805 Barker Dr Oswego KS 67356 |
| Mailing Address |
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 |
| Practice Telephone | 6207952525 |
| Mailing Telephone | 4178207133 |
| Mailing Fax Number | 4178200586 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | TRACY A GODFREY (PRESIDENT) |
| Authorized Official Telephone | 4175568962 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | DEPARTMENT OF LABOR (OWCP-DEEOIC) | 615149202 | 01 |
| KS | KANSAS BLUE CROSS | 1740517341 | 01 |
| MO | 1740517341 | 05 | |
| OK | 200274980E | 05 | |
| KS | 200639810F | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic-Oswego-Family Medicine | Doing Business As Name - Organization |
| Street Address |
805 BARKER DR |
| City | OSWEGO |
| State | KS |
| Zip Code | 67356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710923636 | St. John's Medical Group | Clinic/Center | 805 Barker Dr, Oswego, KS 67356-9034 | 2006-06-20 |
| 1700299542 | Katelyn Hite | Nurse Practitioner | 805 Barker Dr, Oswego, KS 67356 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871823344 | Cah Acquisition Company 2 LLC | Clinic/Center | 800 Barker Dr Ste B, Oswego, KS 67356 | 2010-01-06 |
| 1669497061 | Chauncey Blake Frisbie | Chiropractor | 715 10th St., Oswego, KS 67356 | 2006-07-13 |
| 1215992656 | Cah Acquisition Company 2 LLC | General Acute Care Hospital | 800 Barker Dr, Oswego, KS 67356 | 2006-04-19 |
| 1588674600 | Frisbie Chiropractic PC | Chiropractor | 715 10th St., Oswego, KS 67356 | 2006-08-09 |
| 1083630164 | Cah Acquisition Company 2 LLC | Medicare Defined Swing Bed Unit | 800 Barker Dr, Oswego, KS 67356 | 2006-07-14 |
| 1164618518 | Charlene Ann Mikel | Social Worker | 1807 W 7th Street, Oswego, KS 67356-0204 | 2007-09-19 |
| 1659504090 | Oswego Usd504 | Local Education Agency (LEA) | 719 4th St, Oswego, KS 67356-1601 | 2009-09-02 |
| 1205976016 | Gordon Kern | Family Medicine | 1104 Oregon Dr, Oswego, KS 67356-1826 | 2007-02-08 |
| 1124130075 | Steven G Charles | Pharmacy | 413 Commercial St, Oswego, KS 67356-2017 | 2006-08-31 |
| 1861882136 | Amelia Jolynn Hartmann | Pharmacist | 413 Commercial St, Oswego, KS 67356-2017 | 2015-01-26 |
| Find all providers in zip 67356 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871823344 | Cah Acquisition Company 2 LLC | Clinic/Center | 800 Barker Dr Ste B, Oswego, KS 67356 | 2010-01-06 |
| 1710923636 | St. John's Medical Group | Clinic/Center | 805 Barker Dr, Oswego, KS 67356-9034 | 2006-06-20 |
| 1902411309 | Haskell Regional Hospital, Inc. | Clinic/Center | 800 Barker Dr Ste B, Oswego, KS 67356-9022 | 2020-09-11 |
| 1386207140 | Labette County Medical Center | Clinic/Center | 608 Commercial St, Oswego, KS 67356-2312 | 2019-04-17 |
| 1508207614 | Mercy Hospital Columbus | Clinic/Center | 800 Barker Dr, Oswego, KS 67356-9014 | 2013-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
| 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.