# MERCY CLINIC SPRINGFIELD COMMUNITIES

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

## Provider details

- **NPI number:** 1497886451
- **Authorized official:** WILLIAM J ROBERTS (CFO)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 404 W ROLLA RD, SALEM, MO 65560
- **Practice address phone:** (573) 729-6225
- **Practice address fax:** (573) 729-7258
- **Mailing address:** 404 W ROLLA RD, SALEM, MO 65560-1233
- **Mailing address phone:** (417) 820-7133
- **Mailing address fax:** (417) 820-0586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 113166 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 054413 | MO | — |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 10/14/2025
