Organization
MERCY HOSPITAL LEBANON
Active
Other names
Mercy Hospital Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J ROBERTS (VP FINANCE)
(417) 820-7363
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, LEBANON, MO 65536
(417) 533-6100
(417) 533-6173
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
(417) 533-6173
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
450-6
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010492007
—
MO
01
—
114678
HEALTHLINK COMMERCIAL
MO
05
—
540492006
—
MO
Enumeration date
07/10/2006
Last updated
02/16/2021
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