# MERCY CLINIC SPRINGFIELD COMMUNITIES

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

## Provider details

- **NPI number:** 1245277631
- **Authorized official:** BJ ROBERTS (CFO)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 3231 S NATIONAL AVE STE 220, SPRINGFIELD, MO 65807
- **Practice address phone:** (855) 420-7900
- **Practice address fax:** (417) 829-4316
- **Mailing address:** PO BOX 776071, CHICAGO, IL 60677-6071
- **Mailing address phone:** (855) 420-7900
- **Mailing address fax:** (417) 829-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | MO | Yes |
| 207R00000X | Internal Medicine Physician | — | MO | — |
| 207RH0003X | Hematology & Oncology Physician | — | MO | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 04/30/2025