# MERCY HOSPITAL LEBANON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HOSPITAL LEBANON
- **Other names:** Mercy Hospital Lebanon
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740413988
- **Legal business name:** MERCY HOSPITAL LEBANON
- **Authorized official:** MR. WILLIAM J ROBERTS (VP FINANCE)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 1605 MARTIN SPRINGS DR, ROLLA, MO 65401-2931
- **Practice address phone:** (417) 533-6100
- **Practice address fax:** (417) 533-6173
- **Mailing address:** 100 HOSPITAL DR, LEBANON, MO 65536-9210
- **Mailing address phone:** (417) 533-6100
- **Mailing address fax:** (417) 533-6173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 456-10 | MO | Yes |

## Other

- **Enumeration date:** 09/03/2009
- **Last updated:** 02/16/2021