# MERCY CLINIC SPRINGFIELD COMMUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Diabetes Prevention - Springfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366152407
- **Authorized official:** BJ ROBERTS (CFO)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 1965 S FREMONT AVE STE 200, SPRINGFIELD, MO 65804-2283
- **Practice address phone:** (417) 820-7233
- **Mailing address:** PO BOX 776084, CHICAGO, IL 60677-6084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2022
- **Last updated:** 04/30/2025