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Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BJ ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
3231 S NATIONAL AVE STE 220, SPRINGFIELD, MO 65807
(855) 420-7900
(417) 829-4316
Mailing address
PO BOX 776071, CHICAGO, IL 60677-6071
(855) 420-7900
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T002235
MO
152WC0802X
Corneal and Contact Management Optometrist
T002235
MO
156FX1800X
Optician
—
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
MO
207R00000X
Internal Medicine Physician
—
MO
207RH0003X
Hematology & Oncology Physician
—
MO
Other
Enumeration date
06/02/2006
Last updated
04/30/2025
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