Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Family Medicine-El Dorado Springs
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
309 E HOSPITAL RD, EL DORADO SPRINGS, MO 64744
(417) 876-5851
(417) 876-5484
Mailing address
309 E HOSPITAL RD, EL DORADO SPRINGS, MO 64744-2021
(417) 820-7133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R2D19
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363A00000X
Physician Assistant
2001003572
MO
363A00000X
Physician Assistant
2003005866
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595232901
—
MO
Enumeration date
02/26/2007
Last updated
07/24/2023
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