Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R REYNOLDS (VICE PRESIDENT FINANCE)
(417) 820-2818
Entity
Organization
Contact information
Practice address
2115 S FREMONT AVE, SUITE 5200, SPRINGFIELD, MO 65804-2239
(417) 820-7099
(417) 820-8178
Mailing address
1570 W BATTLEFIELD ST, SUITE 110, SPRINGFIELD, MO 65807-4174
(417) 820-5550
(417) 820-5551
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
333600000X
Pharmacy
005306
MO
3336M0002X
Mail Order Pharmacy
005306
MO
3336S0011X
Specialty Pharmacy
005306
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600135412
—
MO
05
—
628578700
—
MO
Enumeration date
05/16/2006
Last updated
03/29/2017
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