Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Family Medicine-Buffalo
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
118 W DALLAS ST, BUFFALO, MO 65622
(417) 345-6101
(417) 345-6913
Mailing address
118 W DALLAS ST, BUFFALO, MO 65622-8669
(417) 820-7133
(417) 820-0586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
103167
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363LF0000X
Family Nurse Practitioner
076409
MO
363LF0000X
Family Nurse Practitioner
141415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595813908
—
MO
Enumeration date
02/22/2007
Last updated
07/24/2023
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