MERCY HOSPITAL CARTHAGE


Address: 3125 Dr Russell Smith Way, Carthage, MO 64836-7402
Phone: 4173588121

MERCY HOSPITAL CARTHAGE (NPI# 1396012753) 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) 1396012753
Entity Type Organization
Organization Name MERCY HOSPITAL CARTHAGE
Other Organization Name MERCY MCCUNE-BROOKS HOSPITAL
Practice Address 3125 Dr Russell Smith Way
Carthage
MO 64836-7402
Practice Telephone 4173588121
Mailing Telephone 4173588121
Enumeration Date 2011-11-29
Last Update Date 2013-08-27
Authorized Official Name MR. ROBERT COPELAND (CEO)
Authorized Official Telephone 4173588121
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 282NC0060X General Acute Care Hospital
Specialization: Critical Access
Hospitals
N 3416L0300X Ambulance
Specialization: Land Transport
Transportation Services
Y 282N00000X General Acute Care Hospital Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
MO 010670909 05

Other Provider/Organization Names

Other Name Type Code
Mercy McCune-Brooks Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003201955 Mercy Hospital Carthage Psychiatry & Neurology 3125 Dr Russell Smith Way, Carthage, MO 64836 2015-03-30
1912392861 Mercy Hospital Carthage Medicare Defined Swing Bed Unit 3125 Dr Russell Smith Way, Carthage, MO 64836 2015-03-30
1447591573 Mercy Hospital Carthage Internal Medicine 1515 Hazel St, Carthage, MO 64836-2850 2013-03-14
1861743627 Mercy Hospital Carthage Clinic/Center 1515 Hazel St, Carthage, MO 64836-2850 2012-09-19
1558628222 Mercy Hospital Carthage Internal Medicine 1515 Hazel St, Carthage, MO 64836-2850 2012-04-18
1285904342 Mercy Hospital Carthage Clinic/Center 1911 Buena Vista Ave, Carthage, MO 64836 2012-01-06
1285904755 Mercy Hospital Carthage Ambulance 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2011-12-30
1992074959 Mercy Hospital Carthage Clinic/Center 1515 Hazel St, Suite 101, Carthage, MO 64836 2011-12-21
1568731974 Mercy Hospital Carthage Home Health 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2011-12-14
1952679334 Mercy Hospital Carthage Medicare Defined Swing Bed Unit 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2011-12-13

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MERCY HOSPITAL CARTHAGE 3125 Dr Russell Smith Way, Carthage, MO 64836-7402

Office Location

Street Address 3125 DR RUSSELL SMITH WAY
City CARTHAGE
State MO
Zip Code 64836-7402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982680666 Aaron M. Petersen Nurse Anesthetist, Certified Registered 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836-7402 2005-12-15
1417570821 Meghan Metzger Nurse Practitioner 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2020-05-20
1356825384 Jill A Parmley Nurse Practitioner 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2018-09-15
1003300286 Mercy Carthage Anesthesia Anesthesiology 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2018-06-20
1225587504 Northstar Anesthesia of Kentucky II, Pllc Nurse Anesthetist, Certified Registered 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2016-09-27
1710341250 Ashley Diane Cobb Dietitian, Registered 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2016-04-11
1003201955 Mercy Hospital Carthage Psychiatry & Neurology 3125 Dr Russell Smith Way, Carthage, MO 64836 2015-03-30
1912392861 Mercy Hospital Carthage Medicare Defined Swing Bed Unit 3125 Dr Russell Smith Way, Carthage, MO 64836 2015-03-30
1992196778 Annette Noel Mense Physician Assistant 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2015-02-14
1982018727 Jared Wade Nichols Neuromusculoskeletal Medicine & OMM 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2014-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043871908 Cura Personalis, (care for The Whole Person), LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11650 Bobwhite Road, Carthage, MO 64836 2019-06-21
1477098531 Grace Theios, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6031 County Road 105, Carthage, MO 64836 2016-12-28
1386095255 Ozark Tri County Healthcare Consortium Dentist 215 E 3rd Street, Carthage, MO 64836 2016-06-22
1861668972 Allison D. O'dell Social Worker 2411 Fairlawn Drive, Carthage, MO 64836 2008-05-08
1619142064 Earl L Kirn Social Worker 2411 Fairlawn Ave, Carthage, MO 64836 2008-04-28
1235283912 Mark F Saladin Dentist 1604 Missouri Avenue, Carthage, MO 64836 2007-01-22
1962570465 Carthage Counseling LLC Community/Behavioral Health 2411 Fairlawn Dr, Carthage, MO 64836 2006-12-01
1023191665 Wal-mart Stores East, Lp Technician/Technologist 2705 Grand Ave., Carthage, MO 64836 2006-10-24
1356437180 Jannette Eldred Social Worker 1500 South Case Steet, Carthage, MO 64836 2006-10-05
1144251646 Peter Richardson Family Medicine 719 W Centennial, Carthage, MO 64836 2006-07-05
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023061520 Srhs Holdings LLC General Acute Care Hospital 158 Hospital Dr, Carthage, TN 37030-1083 2006-05-18
1831174804 Leake County Board of Trustees General Acute Care Hospital 310 Ellis St, Carthage, MS 39051-3809 2005-12-13
1538667035 Carthage Hospital, LLC General Acute Care Hospital 409 Cottage Rd, Carthage, TX 75633-1466 2018-01-30
1265754527 Neurological Associates of The Four States General Acute Care Hospital 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 2010-02-26
1578693545 Frank T Rutherford Hospital Inc General Acute Care Hospital 130 Lebanon Hwy, Carthage, TN 37030-2955 2007-03-07
1801975107 East Texas Medical Center Carthage General Acute Care Hospital 409 Cottage Rd, Carthage, TX 75633-1466 2006-11-06
1770509697 Smith County Memorial Hospital, LLC General Acute Care Hospital 158 Hospital Dr, Carthage, TN 37030-1083 2006-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295274256 St. Lukes Health System General Acute Care Hospital 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 2017-02-22
1093265159 Missouri Delta Medical Center General Acute Care Hospital 2856 Vista Ridge Pl, Jackson, MO 63755-8105 2016-10-12
1285082040 Jessica Teschner General Acute Care Hospital 3201 Ballard Mill Dr, Columbia, MO 65203-1875 2016-06-01
1912368002 Emily Daniels General Acute Care Hospital 1737 Redbird Cv, Saint Louis, MO 63144-1610 2016-03-16
1225415417 Parkland Veterinary Services, Inc. General Acute Care Hospital 615 E Karsch Blvd, Farmington, MO 63640-1225 2015-04-27
1841698164 Mercy Clinic East Community General Acute Care Hospital 1021 Darwick Ct, Saint Louis, MO 63132-2909 2014-12-18
1831523695 Saint Francis Medical Center General Acute Care Hospital 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 2013-08-29
1730528662 Barnes Jewish Hospital General Acute Care Hospital 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 2013-06-25
1366796757 Barnes Jewish Hospital General Acute Care Hospital 2180 Splendor Dr, Florissant, MO 63031-2640 2012-11-06
1952651341 Faisal Alasmari General Acute Care Hospital 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 2012-09-13
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Competitor

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City CARTHAGE
Zip Code 64836

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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