Organization
MERCY CLINIC JOPLIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JANSENS (CFO)
(417) 556-2459
Entity
Organization
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
(417) 237-7240
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
(417) 237-7240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477822567
—
MO
05
—
200274980H
—
OK
05
—
200639810A
—
KS
Enumeration date
12/20/2011
Last updated
04/30/2025
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