Organization
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Family Medicine-Forsyth
Organization subpart
No
Provider details
NPI number
Authorized official
STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO)
(417) 820-6556
Entity
Organization
Contact information
Practice address
517 COY BLVD, FORSYTH, MO 65653-5083
(417) 546-2446
(417) 546-4720
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
363LF0000X
Family Nurse Practitioner
113864
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595872805
—
MO
Enumeration date
02/28/2007
Last updated
04/28/2015
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