Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R REYNOLDS (VP FINANCE)
(417) 820-2818
Entity
Organization
Contact information
Practice address
594 OLD ROUTE 66, ST ROBERT, MO 65584-3729
(573) 336-4111
(573) 336-4210
Mailing address
1570 W BATTLEFIELD ST, SUITE 110, SPRINGFIELD, MO 65807-4163
(417) 820-5550
(417) 820-5551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626319503
—
MO
Enumeration date
11/16/2007
Last updated
04/11/2012
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