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Organization
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Active
Organization
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Urgent Care-Branson
Organization subpart
No
Provider details
NPI number
Authorized official
STUART G. STANGELAND (EXECUTIVE VICE PRESIDENT, COO)
(417) 820-6556
Entity
Organization
Contact information
Practice address
1065 STATE HIGHWAY 248, SUITE 200, BRANSON, MO 65616-8398
(417) 337-5000
(417) 334-1761
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R2D64
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363LF0000X
Family Nurse Practitioner
2015027435
MO
Other
Enumeration date
12/13/2010
Last updated
02/07/2017
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