# MERCY CLINIC SPRINGFIELD COMMUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053350454
- **Authorized official:** BJ ROBERTS (CFO)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 290 CLIFT CT, HOLLISTER, MO 65672-5947
- **Practice address phone:** (417) 829-4620
- **Practice address fax:** (417) 829-4316
- **Mailing address:** PO BOX 2580, SPRINGFIELD, MO 65801-2580
- **Mailing address phone:** (417) 829-4620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | T03477 | MO | — |
| 152WC0802X | Corneal and Contact Management Optometrist | T03477 | MO | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 04/30/2025