MERCY CLINIC JOPLIN LLC (NPI# 1750618351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750618351 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC JOPLIN LLC |
| Other Organization Name | MERCY CLINIC COLUMBUS-FAMILY MEDICINE |
| Practice Address |
101 W Sycamore St Columbus KS 66725 |
| Mailing Address |
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 |
| Practice Telephone | 6204293636 |
| 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 |
|---|---|---|---|
| MO | 1750618351 | 05 | |
| KS | 200639810E | 05 | |
| KS | KANSAS BLUE CROSS | 1750618351 | 01 |
| KS | DEPARTMENT OF LABOR (OWCP-FECA) | 615149203 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Columbus-Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356739288 | Mercy Clinic Joplin LLC | Internal Medicine | 214 Carter St, Berryville, AR 72616-4303 | 2014-12-30 |
| 1841605029 | Mercy Clinic Joplin LLC | Radiology | 11701 Bee Cave Pkwy, Ste 213, Bee Cave, TX 78738-6466 | 2014-06-25 |
| 1689090888 | Mercy Clinic Joplin LLC | Prosthetic/Orthotic Supplier | 3126 S Jackson Ave, Ste 200, Joplin, MO 64804-2534 | 2014-03-12 |
| 1417216938 | Mercy Clinic Joplin LLC | Internal Medicine | 310 2nd Ave Sw, Miami, OK 74354-6743 | 2012-05-04 |
| 1477822567 | Mercy Clinic Joplin LLC | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-20 |
| 1043547474 | Mercy Clinic Joplin LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 W Sycamore St, Columbus, KS 66725-1276 | 2009-11-05 |
| 1215264817 | Mercy Clinic Joplin LLC | Internal Medicine | 100 Mercy Way, Joplin, MO 64804-4524 | 2009-11-03 |
| Street Address |
101 W SYCAMORE ST |
| City | COLUMBUS |
| State | KS |
| Zip Code | 66725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851356422 | James Compton | Emergency Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-04-18 |
| 1730701947 | Brice I Saunders | Registered Nurse | 101 W Sycamore St, Columbus, KS 66725-1276 | 2020-05-11 |
| 1568094662 | Community Health Center of Southeast Kansas, Inc. | Pharmacy | 101 W Sycamore St, Columbus, KS 66725-1276 | 2020-02-06 |
| 1740726660 | Tracy Southern | Nurse Practitioner | 101 W Sycamore St, Columbus, KS 66725-1276 | 2017-01-17 |
| 1356789556 | Mercy Hospital Columbus | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2013-06-10 |
| 1598057945 | Mercy Hospital Joplin | Hospice Care, Community Based | 101 W Sycamore St, Columbus, KS 66725-1276 | 2011-05-04 |
| 1043547474 | Mercy Clinic Joplin LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 W Sycamore St, Columbus, KS 66725-1276 | 2009-11-05 |
| 1336333921 | William F Harrison | Family Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2007-08-28 |
| 1972794402 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2007-08-08 |
| 1255416558 | Benjamen Howard Williams | Family Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205105624 | Kristin Diane Wagner | Nurse Practitioner | 915 W Maple, Columbus, KS 66725 | 2011-12-14 |
| 1275836819 | Kansas Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 217 S Kansas Ave, Columbus, KS 66725 | 2010-12-20 |
| 1801941083 | Mike Carpino Ford Mercury In | Durable Medical Equipment & Medical Supplies | Hwy 160 69 7 Jct, Columbus, KS 66725 | 2007-01-25 |
| 1780770099 | Evans Drug Inc | Pharmacy | 116 W Pine, Columbus, KS 66725 | 2006-10-05 |
| 1871829812 | Mercy Hospital Columbus | General Acute Care Hospital | 220 N Pennsylvania Ave, Columbus, KS 66725 | 2009-10-27 |
| 1598091530 | Mercy Hospital Columbus | Medicare Defined Swing Bed Unit | 220 N Pennsylvania Ave, Columbus, KS 66725 | 2009-10-27 |
| 1356437677 | Jason W Hulvey | Pharmacist | 116 W Pine, Columbus, KS 66725 | 2006-10-05 |
| 1386724995 | County of Cherokee | Public Health or Welfare | 110 East Walnut, Columbus, KS 66725-0107 | 2006-10-17 |
| 1972699296 | Evan P Mcnemar | Pharmacist | 116 W Pine, Columbus, KS 66725-0309 | 2006-10-05 |
| 1609963578 | Medicalodges, Inc. | Skilled Nursing Facility | 101 Lee Ave, Columbus, KS 66725-1021 | 2006-10-10 |
| Find all providers in zip 66725 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| 1730434309 | Stillwater Hospital Association, Inc. | Clinic/Center | 710 N. 11th St., Box 959, Columbus, MT 59019-0959 | 2012-07-19 |
| 1659844405 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 505 Willowbrook Rd, Columbus, MS 39705-2016 | 2019-01-04 |
| 1356789556 | Mercy Hospital Columbus | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2013-06-10 |
| 1700821899 | St. John's Medical Group | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-06-20 |
| 1932158367 | Columbus Community Hospital | Clinic/Center | 109 Shult Dr, Columbus, TX 78934-3015 | 2006-05-10 |
| 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.