MERCY CLINIC SPRINGFIELD COMMUNITIES


Address: 1202 E Main St, Willow Springs, MO 65793
Phone: 4174691820

MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI# 1972771657) 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) 1972771657
Entity Type Organization
Organization Name MERCY CLINIC SPRINGFIELD COMMUNITIES
Other Organization Name MERCY CLINIC FAMILY MEDICINE-WILLOW SPRINGS
Practice Address 1202 E Main St
Willow Springs
MO 65793
Mailing Address 645 Maryville Centre Dr Fl 3
Saint Louis
MO 63141-5855
Practice Telephone 4174691820
Practice Fax Number 4174695280
Mailing Telephone 4178207133
Mailing Fax Number 4178200586
Enumeration Date 2008-02-14
Last Update Date 2018-12-04
Authorized Official Name DR. ROBERT CAVAGNOL (CHIEF PHYSICIAN OFFICER)
Authorized Official Telephone 4178202705
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 2009010253 MO Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
2013019442 MO Physician Assistants & Advanced Practice Nursing Providers
Y 261QR1300X Clinic/Center
Specialization: Rural Health
MO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO RURAL HEALTH MEDICAID 1972771657 01

Other Provider/Organization Names

Other Name Type Code
Mercy Clinic Family Medicine-Willow Springs Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659785657 Mercy Clinic Springfield Communities Radiology 11701 Bee Cave Pkwy, Suite 213, Bee Cave, TX 78738-6466 2014-06-17
1770612590 Mercy Clinic Springfield Communities Nurse Practitioner 120 Hospital Dr Ste 350, Lebanon, MO 65536-9253 2007-03-05
1952437675 Mercy Clinic Springfield Communities Family Medicine 18598 Business 13, Branson West, MO 65737 2007-02-26
1811065477 Mercy Clinic Springfield Communities Family Medicine 9138 O'banion St, Birch Tree, MO 65438 2006-12-01
1538195508 Mercy Clinic Springfield Communities Family Medicine 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 2006-06-23
1053347807 Mercy Clinic Springfield Communities Family Medicine 100 Medical Cir, Green Forest, AR 72638-3802 2006-06-23
1740226091 Mercy Clinic Springfield Communities Family Medicine 207 Carter St, Berryville, AR 72616-4303 2006-06-22
1881636884 Mercy Clinic Springfield Communities Psychologist 1312 E Lark St, Springfield, MO 65804-7351 2006-06-12
1124069877 Mercy Clinic Springfield Communities Obstetrics & Gynecology 613 Orchard Dr, Berryville, AR 72616-5013 2006-06-10
1245277631 Mercy Clinic Springfield Communities Internal Medicine 3231 S National Ave Ste 220, Springfield, MO 65807 2006-06-02

Office Location

Street Address 1202 E MAIN ST
City WILLOW SPRINGS
State MO
Zip Code 65793

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164410353 Deborah Lou Sheehan Family Medicine 1202 E Main St, Willow Springs, MO 65793-3588 2005-10-11
1104345842 Erica Gail Marriott Registered Nurse 1202 E Main St, Willow Springs, MO 65793-3588 2017-09-13
1184062382 Mercy St Francis Hospital Clinic/Center 1202 E Main St, Willow Springs, MO 65793-3588 2013-06-10
1295172468 Trena J. Turner Registered Nurse 1202 E Main St, Willow Springs, MO 65793-3588 2013-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265033534 Good Graces, LLC Pharmacy 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 2020-11-03
1427526565 Ozarks Medical Center Clinic/Center 201 West High Street, Suite 2, Willow Springs, MO 65793 2018-11-07
1124514476 Ozarks Medical Center Clinic/Center 201 West High Street, Suite 2, Willow Springs, MO 65793 2018-07-10
1023439403 Lori Pendergrass Occupational Therapy Assistant 910 Springfield Rd, Willow Springs, MO 65793 2014-01-02
1912151960 Matthew Eugene Mansfield Dentist 2729 State Route 76 West, Willow Springs, MO 65793 2008-11-04
1407950520 Lester E Cox Medical Centers Family Medicine 816 E Main, Willow Springs, MO 65793 2006-09-11
1366443913 Willow Health Care Inc Home Health 2642 State Route 76, Willow Springs, MO 65793-0000 2005-08-04
1598742777 Alexander Mark Prorok Counselor 3670 County Road 4990, Willow Springs, MO 65793-0506 2005-12-28
1548341019 Laura Louise Curtis Counselor 2695 Sr U, Willow Springs, MO 65793-0631 2006-10-18
1629125000 Aldyth R Huston Occupational Therapist 215 W 4th St, Willow Springs, MO 65793-1118 2007-01-05
Find all providers in zip 65793

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740225598 Valley Medical Center P.C. Clinic/Center 308 S Harris St, Willow Springs, MO 65793-1621 2006-06-17
1184625782 Willow Health Care Inc Clinic/Center 2642 State Route 76, Willow Springs, MO 65793-8254 2005-08-03
1184062382 Mercy St Francis Hospital Clinic/Center 1202 E Main St, Willow Springs, MO 65793-3588 2013-06-10
1023188562 Regional Services Clinic/Center 816 E Main St, Willow Springs, MO 65793-1518 2006-11-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871102137 Washington County Memorial Hospital Clinic/Center 14206 Hwy C, Belgrade, MO 63622 2020-07-23
1891325072 Scotland County Memorial Hospital Clinic/Center 55682 State Highway 6 Ste A, Edina, MO 63537-4268 2020-01-16
1639736457 Southeast Health Center of Stoddard County LLC Clinic/Center 800 Us Highway 61, New Madrid, MO 63869-1106 2019-05-28
1134633456 Pike County Memorial Hospital Clinic/Center 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 2017-11-22
1720505894 Perry County Health System Clinic/Center 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 2017-08-29
1427572007 Missouri Delta Medical Center Clinic/Center 209 W Yoakum Ave, Chaffee, MO 63740-1138 2017-07-26
1790213676 Jackson Primary Care LLC Clinic/Center 2685 E Main St Ste A, Jackson, MO 63755-2474 2017-05-23
1972050581 Sgoh Acquisition, Inc. Clinic/Center 912b State Highway 59, Goodman, MO 64843-8252 2016-09-01
1144605312 Nevada City Hospital Clinic/Center 627 S Ash St Ste B, Nevada, MO 64772 2015-07-29
1669856829 Ssm Regional Health Services Clinic/Center 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 2015-07-16
Find all providers with the same taxonomy

Competitor

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City WILLOW SPRINGS
Zip Code 65793

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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