Organization
MERCY HOSPITAL CARTHAGE
Active
Other names
Mercy Hospital Carthage
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LYNN CLOUSE DAY (VP FINANCE)
(417) 820-8439
Entity
Organization
Contact information
Practice address
1515 HAZEL ST, CARTHAGE, MO 64836-2850
(417) 358-0188
Mailing address
1515 HAZEL ST, CARTHAGE, MO 64836-2850
(417) 358-0188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA3832
MEDICARE PTAN
—
Enumeration date
04/18/2012
Last updated
09/23/2021
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