Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Emergency Medical Services-Carroll County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT R REYNOLDS (VICE PRESIDENT - FINANCE)
(417) 820-2818
Entity
Organization
Contact information
Practice address
200 SPARKY STREET, GREEN FOREST, AR 72638-2713
(870) 438-5718
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
125
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112388715
—
AR
05
—
1477756609
—
MO
Enumeration date
06/06/2007
Last updated
12/17/2013
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