# MERCY CLINIC-SPRINGFIELD COMMUNITIES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinic Family Medicine-Eminence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396871745
- **Authorized official:** STUART G. STANGELAND (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (417) 820-6556

## Contact information

- **Practice address:** HIGHWAY 19 SOUTH, EMINENCE, MO 65466
- **Practice address phone:** (573) 226-5401
- **Practice address fax:** (573) 226-3011
- **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 | R7838 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 363A00000X | Physician Assistant | 112033 | MO | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 04/28/2015