# MERCY CLINIC-SPRINGFIELD COMMUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinic-Lebanon-OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073642765
- **Authorized official:** STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO)
- **Authorized official phone:** (417) 820-6556

## Contact information

- **Practice address:** 120 HOSPITAL DR, SUITE 225, LEBANON, MO 65536
- **Practice address phone:** (417) 533-6710
- **Practice address fax:** (417) 533-6719
- **Mailing address:** 645 MARYVILLE CENTRE DR FL 3, SAINT LOUIS, MO 63141-5855
- **Mailing address phone:** (417) 820-7133
- **Mailing address fax:** (417) 820-0586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 114220 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 06/11/2018