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
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2727
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
207R00000X
Internal Medicine Physician
—
MO
207RC0000X
Cardiovascular Disease Physician
—
MO
207V00000X
Obstetrics & Gynecology Physician
—
MO
208600000X
Surgery Physician
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215264817
—
MO
05
—
181336002
—
AR
05
—
200274980B
—
OK
05
—
200639810A
—
KS
Enumeration date
11/03/2009
Last updated
04/30/2025
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