Organization
MERCY HOSPITAL LEBANON
Active
Parent organization
MERCY HOSPITAL LEBANON
Other names
Mercy Hospital Lebanon
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL LEBANON
Authorized official
MR. WILLIAM J ROBERTS (VP FINANCE)
(417) 820-7363
Entity
Organization
Contact information
Practice address
1605 MARTIN SPRINGS DR, ROLLA, MO 65401-2931
(417) 533-6100
(417) 533-6173
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
(417) 533-6173
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
456-10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010492007
—
MO
01
—
114678
HEALTHLINK COMMERCIAL
MO
05
—
540492006
—
MO
Enumeration date
09/03/2009
Last updated
02/16/2021
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