# MERCY CLINIC-SPRINGFIELD COMMUNITIES

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

## Provider details

- **NPI number:** 1568591295
- **Authorized official:** STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO)
- **Authorized official phone:** (417) 820-6556

## Contact information

- **Practice address:** 290 CLIFT CT, HOLLISTER, MO 65672-5947
- **Practice address phone:** (417) 336-4355
- **Practice address fax:** (417) 337-5141
- **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 | 2006039080 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 113864 | MO | — |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 04/28/2015