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Organization

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Active
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Organization

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Active
Other names
Mercy Clinic Family Medicine-Eminence
Organization subpart
No

Provider details

NPI number
Authorized official
STUART G. STANGELAND (CHIEF OPERATING OFFICER)
(417) 820-6556
Entity
Organization

Contact information

Practice address
HIGHWAY 19 SOUTH, EMINENCE, MO 65466
(573) 226-5401
(573) 226-3011
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R7838
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363A00000X
Physician Assistant
112033
MO

Other

Enumeration date
02/27/2007
Last updated
04/28/2015
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