MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI# 1770618233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770618233 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC FAMILY MEDICINE AVA |
| Practice Address |
1312 North Highway 5 Ava MO 65608 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4176834045 |
| Practice Fax Number | 4176836069 |
| Mailing Telephone | 4178202000 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | STUART G. STANGELAND (SENIOR VICE PRESIDENT, COO) |
| Authorized Official Telephone | 4178206556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 113969 | MO | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
122348 | 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 | 595879701 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Family Medicine Ava | 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 |
1312 NORTH HIGHWAY 5 |
| City | AVA |
| State | MO |
| Zip Code | 65608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811079734 | Vicky J. Owens | Nurse Practitioner | 1312 North Highway 5, Ava, MO 65608 | 2006-10-19 |
| 1861617730 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1312 North Highway 5, Ava, MO 65608 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326871 | Regional Services | Nurse Practitioner | 507 Ne 3rd St, Ava, MO 65608 | 2018-08-15 |
| 1629558168 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 916 N.w. Springfield Ave, Suite F, Ava, MO 65608 | 2018-08-15 |
| 1235639592 | Carolyn Marie Myers | Occupational Therapist | 223 South Jefferson Street, Ava, MO 65608 | 2018-02-13 |
| 1114386497 | Judy King | Counselor | 202 Nw Str Str 1, Ava, MO 65608 | 2016-02-16 |
| 1548653009 | Grace Smith | Pharmacist | 124 West Washington Avenue, Ava, MO 65608 | 2015-03-09 |
| 1427397769 | Rebecca L Mcbride | Nurse Practitioner | 120 W Lincoln Ave, Ava, MO 65608 | 2013-02-06 |
| 1154695716 | Medical Equipment Inspection & Repair | Durable Medical Equipment & Medical Supplies | 122 East Washington Ave, Ava, MO 65608 | 2012-02-29 |
| 1932471695 | Lacinda Kaye Higley | Mechanotherapist | 603 North West 10th Ave, Ava, MO 65608 | 2012-01-27 |
| 1972812592 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 603 Nw 10th Ave., Ava, MO 65608 | 2010-09-30 |
| 1013224047 | Family Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 916 N.w. 12th Ave, Suite F, Ava, MO 65608 | 2010-09-13 |
| Find all providers in zip 65608 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285687509 | Mansfield Clinic, Inc. | Clinic/Center | 120 Sw 2nd Avenue, Ava, MO 65608 | 2006-05-18 |
| 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 | ||||
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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.