Organization · Type 2 NPI

Mercy Clinic-Springfield Communities

Rural Health Clinic/Center · Houston, MO

NPI number 1487783296 Active

Practice location

1422 S Sam Houston Blvd
Houston, MO 65483

Call (417) 967-4445 Map

Fax (417) 967-4453

Mailing address

645 Maryville Centre Dr Fl 3
St. Louis, MO 63141-5855

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	2005013261 (MO)
Rural Health Clinic/Center Primary	261QR1300X	None listed
Family Nurse Practitioner	363LF0000X	130675 (MO)
Family Nurse Practitioner	363LF0000X	119291 (MO)

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

Other rural health clinic/center providers in Houston

See all in Houston →

NPI record

NPI: 1487783296
Entity type: Organization (Type 2)
Issued: Mar 5, 2007
Last updated: Jun 12, 2018
Status: Active

Other names

<unavail>
Mercy Clinic Family Medicine-Houston · doing business as
Mercy Clinic Family Medicine-Houston · doing business as

Authorized official

Stuart G. Stangeland
Senior Vice President/coo
(417) 820-3873

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1487783296

Mercy Clinic-Springfield Communities's National Provider Identifier is 1487783296, issued on Mar 5, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Houston, MO. The record was last updated on Jun 12, 2018.