# MERCY CLINIC SPRINGFIELD COMMUNITIES

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

## Provider details

- **NPI number:** 1457480188
- **Authorized official:** WILLIAM ROBERTS (CFO)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 120 W 16TH ST, MOUNTAIN GROVE, MO 65711
- **Practice address phone:** (417) 926-6111
- **Practice address fax:** (417) 926-6115
- **Mailing address:** 120 W 16TH ST, MOUNTAIN GROVE, MO 65711-1039
- **Mailing address phone:** (417) 820-7133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R9C21 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 119291 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 130675 | MO | — |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 10/14/2025