Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R REYNOLDS (VICE PRESIDENT FINANCE)
(417) 820-2818
Entity
Organization
Contact information
Practice address
3328 S NATIONAL AVE, SPRINGFIELD, MO 65807-7305
(417) 820-7115
(417) 820-9400
Mailing address
1570 W BATTLEFIELD ST, SUITE 110, SPRINGFIELD, MO 65807-4163
(417) 820-5550
(417) 820-5551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000595
PREMIER HEALTH PLANS
—
05
—
621937309
—
MO
Enumeration date
05/18/2006
Last updated
02/10/2012
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