# MERCY HOSPITAL LEBANON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinic Buffalo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235576943
- **Authorized official:** MISS SCOTT REYNOLDS (VICE PRESIDENT-FINANCE)
- **Authorized official phone:** (414) 820-2818

## Contact information

- **Practice address:** 118 W DALLAS ST, BUFFALO, MO 65622-8669
- **Practice address phone:** (417) 345-6101
- **Mailing address:** 118 W DALLAS ST, BUFFALO, MO 65622-8669
- **Mailing address phone:** (417) 345-6101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2013
- **Last updated:** 06/04/2013