MERCY HOSPITAL SPRINGFIELD (NPI# 1558573410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558573410 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL SPRINGFIELD |
| Other Organization Name | MERCY EMERGENCY MEDICAL SERVICES |
| Practice Address |
1407 E Saint Louis St Springfield MO 65802-3125 |
| Mailing Address |
1235 E Cherokee St Springfield MO 65804-2203 |
| Practice Telephone | 4178205454 |
| Mailing Telephone | 4178202000 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | MR. SCOTT R REYNOLDS (VICE PRESIDENT-FINANCE) |
| Authorized Official Telephone | 4178202818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
077101 | MO | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
077127 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800135402 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Emergency Medical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1114154127 | Mercy Hospital Springfield | Occupational Therapist | 670 Branson Landing Blvd, Branson, MO 65616-2074 | 2009-06-17 |
| 1477756609 | Mercy Hospital Springfield | Ambulance | 200 Sparky Street, Green Forest, AR 72638-2713 | 2007-06-06 |
| 1144430760 | Mercy Hospital Springfield | Ambulance | 59 Meadow Lark Rd., Branson West, MO 65737 | 2007-05-23 |
| 1558573386 | Mercy Hospital Springfield | Ambulance | 816 E Highway 32, Stockton, MO 65785-8351 | 2007-05-04 |
| 1477765204 | Mercy Hospital Springfield | Ambulance | 675 North Highway 5, Camdenton, MO 65020-3561 | 2007-05-04 |
| 1538380654 | Mercy Hospital Springfield | Ambulance | 1012 N Highway 19, Winona, MO 65588 | 2007-05-02 |
| 1427279173 | Mercy Hospital Springfield | Ambulance | 1315 S Landrum St, Mount Vernon, MO 65712-1910 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL SPRINGFIELD | 1235 East Cherokee, Springfield, MO 65804-2203 |
| Street Address |
1407 E SAINT LOUIS ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1184899478 | Medics First Inc. | Ambulance | 1600 Taylor Ave, Springfield, IL 62703-5662 | 2008-04-28 |
| 1285785402 | Springfield Ambulance Corps | Ambulance | 201 Saxer Ave, Springfield, PA 19064-3143 | 2007-01-15 |
| 1720008006 | Springfield Vol Fire and Rescue Inc | Ambulance | 505 S 1 St Street, Springfield, NE 68059 | 2006-07-20 |
| 1710910971 | National Ambulance, LLC | Ambulance | 425 Saint James Ave, Springfield, MA 01109-3829 | 2006-07-09 |
| 1619911971 | American Medical Response of Massachusetts Inc | Ambulance | 595 Cottage St, Springfield, MA 01104-3220 | 2006-06-16 |
| 1225084510 | City of Springfield | Ambulance | 14 N Marshall Ave, Springfield, MN 56087-1519 | 2006-05-26 |
| 1215902606 | Am-b-chair, Inc | Ambulance | 2153 East Columbus Ave, Springfield, MA 01104 | 2006-02-21 |
| 1417936345 | Green Twp Trustees | Ambulance | 6215 Springfield Xenia Rd, Springfield, OH 45502-8142 | 2006-01-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on MERCY HOSPITAL SPRINGFIELD.
| 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.