MERCY HOSPITAL LEBANON (NPI# 1366880874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366880874 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL LEBANON |
| Other Organization Name | MERCY CLINIC-LEBANON-FAMILY MEDICINE |
| Practice Address |
120 Hospital Dr Suite 100 Lebanon MO 65536-9238 |
| Practice Telephone | 4175336751 |
| Mailing Telephone | 4175336751 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | MR. SCOTT REYNOLDS (VICE PRESIDENT-FINANCE) |
| Authorized Official Telephone | 4178202818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Clinic-Lebanon-Family Medicine | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1043562358 | Mercy Hospital Lebanon | Clinic/Center | 1605 Martin Springs Dr, Rolla, MO 65401-2931 | 2012-10-10 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL LEBANON | 100 Hospital Dr, Lebanon, MO 65536-9210 |
| Street Address |
120 HOSPITAL DR SUITE 100 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023586 | Alyssa Lynn Wright | Nurse Practitioner | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2017-10-10 |
| 1922457886 | Katherine Becker | Nurse Practitioner | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2016-06-10 |
| 1760841571 | Alysa Barcus | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2016-02-22 |
| 1134595952 | David Houzenga | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2015-08-16 |
| 1124403944 | Lisa M. Boggs | Nurse Practitioner | 120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238 | 2015-07-22 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1457798167 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 | 2013-06-04 |
| 1134478738 | Rajasekhar Tanikella | Hospitalist | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2012-08-29 |
| 1063784411 | Morgana Hazell | Counselor | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2012-02-01 |
| 1013228071 | Richard Mulrenin | Psychologist | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
| 1235204405 | Elissa Whittenburg Md Pa | Clinic/Center | 1237 Fox Hollow Dr, Lebanon, OH 45036-7846 | 2006-11-22 |
| 1891885273 | Family Health Care Associates | Clinic/Center | 143 West Main Street, Lebanon, VA 24266-4214 | 2006-10-13 |
| 1770675035 | Lester E Cox Medical Centers | Clinic/Center | 510 E Hwy 32, Lebanon, MO 65536 | 2006-09-28 |
| 1225093479 | Merit Medical Rhc Lebanon Inc | Clinic/Center | 360 West Main Street, Lebanon, VA 24266 | 2006-04-19 |
| 1245772664 | Mountain States Health Alliance | Clinic/Center | 71 S Flannagan Ave, Lebanon, VA 24266-3600 | 2016-11-16 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1558709071 | Mercy Hospital Lebanon | Clinic/Center | 331 Hospital Dr, Suite C, Lebanon, MO 65536-9217 | 2013-06-06 |
| 1457798167 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 | 2013-06-04 |
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| 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.