# MERCY CLINIC-SPRINGFIELD COMMUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinic Urgent Care-Branson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245533223
- **Authorized official:** STUART G. STANGELAND (EXECUTIVE VICE PRESIDENT, COO)
- **Authorized official phone:** (417) 820-6556

## Contact information

- **Practice address:** 1065 STATE HIGHWAY 248, SUITE 200, BRANSON, MO 65616-8398
- **Practice address phone:** (417) 337-5000
- **Practice address fax:** (417) 334-1761
- **Mailing address:** PO BOX 505164, SAINT LOUIS, MO 63150-5164
- **Mailing address phone:** (417) 820-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R2D64 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 2015027435 | MO | — |

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 02/07/2017