Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Family Medicine-Monett
Organization subpart
No
Provider details
NPI number
Authorized official
STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO)
(417) 820-6556
Entity
Organization
Contact information
Practice address
315 E CLEVELAND AVE, MONETT, MO 65708-1704
(417) 235-4334
(417) 235-7459
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R8H37
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363LF0000X
Family Nurse Practitioner
097868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
599084902
—
MO
Enumeration date
03/05/2007
Last updated
04/28/2015
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