# MERCY CLINIC JOPLIN LLC

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

## Provider details

- **NPI number:** 1750618351
- **Authorized official:** TRACY A GODFREY MD (PRESIDENT)
- **Authorized official phone:** (417) 556-8962

## Contact information

- **Practice address:** 101 W SYCAMORE ST, COLUMBUS, KS 66725
- **Practice address phone:** (620) 429-3636
- **Mailing address:** 645 MARYVILLE CENTRE DR FL 3, SAINT LOUIS, MO 63141-5855
- **Mailing address phone:** (417) 820-7133
- **Mailing address fax:** (417) 820-0586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | KS | Yes |

## Other

- **Enumeration date:** 11/03/2009
- **Last updated:** 06/11/2018