# MERCY CLINIC SPRINGFIELD COMMUNITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinic Pediatrics-Rolla
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922137645
- **Authorized official:** WILLIAM J ROBERTS (CFO)
- **Authorized official phone:** (417) 820-7363

## Contact information

- **Practice address:** 1605 MARTIN SPRINGS DR, SUITE 250, ROLLA, MO 65401
- **Practice address phone:** (573) 458-6363
- **Practice address fax:** (573) 458-6765
- **Mailing address:** 1605 MARTIN SPRINGS DR STE 250, ROLLA, MO 65401-2980
- **Mailing address phone:** (417) 820-7133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 108228 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 146525 | MO | — |

## Other

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