Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Life Line
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J ROBERTS (VICE PRESIDENT - FINANCE)
(417) 820-7363
Entity
Organization
Contact information
Practice address
59 MEADOW LARK RD., BRANSON WEST, MO 65737
(417) 272-1700
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
077101
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803839307
—
MO
Enumeration date
05/23/2007
Last updated
02/19/2021
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