Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
Mercy Clinic Pediatrics-Rolla
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
1605 MARTIN SPRINGS DR, SUITE 250, ROLLA, MO 65401
(573) 458-6363
(573) 458-6765
Mailing address
1605 MARTIN SPRINGS DR STE 250, ROLLA, MO 65401-2980
(417) 820-7133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
108228
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363LP0200X
Pediatric Nurse Practitioner
146525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597380708
—
MO
Enumeration date
03/06/2007
Last updated
10/14/2025
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