MERCY HOSPITAL LEBANON


Address: 1605 Martin Springs Dr, Rolla, MO 65401-2931
Phone: 4178202818

MERCY HOSPITAL LEBANON (NPI# 1043562358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043562358
Entity Type Organization
Organization Name MERCY HOSPITAL LEBANON
Other Organization Name MERCY SURGERY CENTER-LEBANON AT ROLLA
Practice Address 1605 Martin Springs Dr
Rolla
MO 65401-2931
Practice Telephone 4178202818
Mailing Telephone 4178202818
Enumeration Date 2012-10-10
Last Update Date 2013-05-10
Authorized Official Name MR. SCOTT REYNOLDS (VP-FINANCE)
Authorized Official Telephone 4178202818
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Mercy Surgery Center-Lebanon at Rolla Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578901773 Mercy Hospital Lebanon Clinic/Center 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 2013-06-10
1912345257 Mercy Hospital Lebanon Clinic/Center 608 Old Route 66, Saint Robert, MO 65584-3730 2013-06-10
1558709071 Mercy Hospital Lebanon Clinic/Center 331 Hospital Dr, Suite C, Lebanon, MO 65536-9217 2013-06-06
1366880874 Mercy Hospital Lebanon Clinic/Center 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 2013-06-06
1437596160 Mercy Hospital Lebanon Clinic/Center 904 S Pine St, Richland, MO 65556-7393 2013-06-04
1235576943 Mercy Hospital Lebanon Clinic/Center 118 W Dallas St, Buffalo, MO 65622-8669 2013-06-04
1457798167 Mercy Hospital Lebanon Clinic/Center 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 2013-06-04
1801148499 Mercy Hospital Lebanon Radiology 1605 Martin Springs Dr, Rolla, MO 65401-2982 2012-10-08
1740413988 Mercy Hospital Lebanon General Acute Care Hospital 1605 Martin Springs Dr, Rolla, MO 65401-2931 2009-09-03
1053346320 Mercy Hospital Lebanon Medicare Defined Swing Bed Unit 100 Hospital Dr, Lebanon, MO 65536 2006-07-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MERCY HOSPITAL LEBANON 100 Hospital Dr, Lebanon, MO 65536-9210

Office Location

Street Address 1605 MARTIN SPRINGS DR
City ROLLA
State MO
Zip Code 65401-2931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124024468 William S Anast Anesthesiology 1605 Martin Springs Dr, Rolla, MO 65401-2982 2005-06-22
1477092906 Amanda Creamer Nurse Practitioner 1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2982 2017-02-16
1851839716 Richard Siska Sr. Radiologic Technologist 1605 Martin Springs Dr, Ste 110, Rolla, MO 65401-2982 2017-02-10
1922457712 Madhura G Joag Internal Medicine 1605 Martin Springs Dr, Rolla, MO 65401-2982 2016-06-13
1497115497 Di'ara Woods Physician Assistant 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401-2982 2016-03-03
1104260090 Omofolarin Babatunji Fasuyi Family Medicine 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 2013-04-22
1790037950 Lisa A Cunningham Nurse Practitioner 1605 Martin Springs Dr, Ste 250, Rolla, MO 65401-2931 2012-10-11
1801148499 Mercy Hospital Lebanon Radiology 1605 Martin Springs Dr, Rolla, MO 65401-2982 2012-10-08
1265787741 Cheri Berti Pharmacist 1605 Martin Springs Dr, Suite 220, Rolla, MO 65401-2931 2012-07-19
1720347867 Abigail Crisostomo Family Medicine 1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2931 2012-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639645591 Samantha Jo Mitchell Pharmacist 1375 E 10th St Suite B, Rolla, MO 65401 2018-10-18
1427567726 Gerry Wade Funkhouser Jr. Counselor 103 W 10th St, Rolla, MO 65401 2017-09-29
1366967960 Shana Hintz Wisniewski Social Worker 1000 W. 10th St., Rolla, MO 65401 2017-08-04
1174066559 Tabitha Hundt Counselor 1011 Cypress Dr, Rolla, MO 65401 2016-12-02
1841742855 Alpha Assisted Living LLC Assisted Living Facility 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 2016-10-26
1275916884 Elizabeth Zersen Occupational Therapist 2053 Vienna Rd, Rolla, MO 65401 2015-06-30
1386047025 Becky L Witham Nurse Practitioner 1060 W 10th Street, Rolla, MO 65401 2014-10-08
1114326121 Summer Adey Licensed Practical Nurse 13750 State Route F, Rolla, MO 65401 2014-08-14
1518303296 Leaetta Mildred Gardner Nursing Facility/Intermediate Care Facility 13450 County Road 7040, Rolla, MO 65401 2013-05-21
1316282064 Susan Peitz Gruener Occupational Therapy Assistant 1800 White Column Road, Rolla, MO 65401 2012-12-06
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710926589 Physician Surgery Center LLC Clinic/Center 1500 Highway 72 East, Rolla, MO 65401 2006-06-06
1619266426 Rolla Surgical Clinic, LLC Clinic/Center 1210 Homelife Plz, Rolla, MO 65401-2512 2011-04-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790393130 United Surgical Center, LLC Clinic/Center 638 Chamblee Ln, Creve Coeur, MO 63141-7323 2020-07-22
1801443320 St. Luke's Surgery Center of Chesterfield, LLC Clinic/Center 111 St. Luke's Center Drive, Bldg B, Suite 500, Chesterfield, MO 63017-3509 2019-08-20
1255991238 Lee Summit Asc Kc LLC Clinic/Center 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 2019-06-20
1467925180 Metro St Louis Surgery Center LLC Clinic/Center 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 2019-01-04
1295207587 Commons South Surgery Center, LLC Clinic/Center 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 2018-12-26
1922574391 The Phoenix Oversight and Consulting, LLC. Clinic/Center 7746 Rannells Ave, Saint Louis, MO 63143-1823 2018-10-23
1700363611 Apollo Ambulatory Surgery Center, LLC Clinic/Center 10012 Manchester Rd, Saint Louis, MO 63122-1826 2018-07-24
1336649565 Advanced Surgical Care of St. Louis, LLC Clinic/Center 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 2018-02-14
1730698374 Advanced Surgical Center of Sunset Hills LLC Clinic/Center 4594 S Lindbergh Blvd, Saint Louis, MO 63127 2017-09-27
1093224297 United Physicians Group, LLC Clinic/Center 1100 Town and Country Commons Dr # 7805, Town and Country, MO 63017-8285 2017-09-20
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Competitor

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City ROLLA
Zip Code 65401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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