Organization
MERCY HOSPITAL CARTHAGE
Active
Other names
Mercy McCune-Brooks Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT COPELAND (CEO)
(417) 358-8121
Entity
Organization
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800551806
—
MO
Enumeration date
12/30/2011
Last updated
12/30/2011
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