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
1200 DEADRA DR, LEBANON, MO 65536-4669
(417) 588-9330
(417) 588-0217
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
05
—
620492009
—
MO
Enumeration date
12/04/2007
Last updated
02/10/2012
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