Organization
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Famil Medicine-Branson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO)
(417) 820-6556
Entity
Organization
Contact information
Practice address
260 TERRACE RD, BRANSON, MO 65616-8909
(417) 336-2273
(417) 334-3609
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144498528
RURAL HEALTH MEDICAID
MO
Enumeration date
02/19/2008
Last updated
04/29/2015
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