Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Emergency Medical Services-Shannon 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
1012 N HIGHWAY 19, WINONA, MO 65588
(573) 325-4644
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
203009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800459117
—
MO
Enumeration date
05/02/2007
Last updated
01/31/2012
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