Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Family Medicine-Salem
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
404 W ROLLA RD, SALEM, MO 65560
(573) 729-6225
(573) 729-7258
Mailing address
404 W ROLLA RD, SALEM, MO 65560-1233
(417) 820-7133
(417) 820-0586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
113166
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363LF0000X
Family Nurse Practitioner
054413
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593362908
—
MO
Enumeration date
03/08/2007
Last updated
10/14/2025
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