Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Family Medicine-Summersville
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
149 ROGERS AVE, SUMMERSVILLE, MO 65571
(417) 932-4119
(417) 932-4838
Mailing address
149 ROGERS AVE, SUMMERSVILLE, MO 65571
(417) 820-7133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R7838
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595813809
—
MO
Enumeration date
03/13/2007
Last updated
07/21/2023
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