Organization
MERCY CLINIC JOPLIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JANSSENS (CFO)
(417) 556-2459
Entity
Organization
Contact information
Practice address
101 W SYCAMORE ST, COLUMBUS, KS 66725-1276
(620) 429-3636
Mailing address
PO BOX 504944, SAINT LOUIS, MO 63150-0001
(314) 466-6428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043547474
KANSAS BLUE CROSS
KS
05
—
1043547474
—
MO
05
—
200639810B
—
KS
Enumeration date
11/05/2009
Last updated
04/30/2025
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