Organization · Type 2 NPI

Mercy Clinic Springfield Communities

Rural Health Clinic/Center · Republic, MO

NPI number 1962534727 Active

Practice location

332 S Main Ave
Republic, MO 65738

Call (417) 732-5050 Map

Fax (417) 732-8061

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	107047 (MO)
Rural Health Clinic/Center Primary	261QR1300X	None listed
Physician Assistant	363A00000X	2001029957 (MO)
Family Nurse Practitioner	363LF0000X	145564 (MO)

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

4 other providers at this address

Mercy Hospital AuroraRural Health Clinic/Center Republic, MO NPI 1558709287
Erin Elizabeth Casey, DNPFamily Nurse Practitioner Republic, MO NPI 1386254753
Kathryn A. Herfkens-Ampleman, FNPFamily Nurse Practitioner Republic, MO NPI 1922198688
Stephanie L. Swords, MDInternal Medicine Physician Republic, MO NPI 1215071709

Other rural health clinic/center providers in Republic

See all in Republic →

NPI record

NPI: 1962534727
Entity type: Organization (Type 2)
Issued: Mar 9, 2007
Last updated: Jun 11, 2018
Status: Active

Other names

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Mercy Clinic Family Medicine-Republic · doing business as
Mercy Clinic Family Medicine-Republic · doing business as

Authorized official

Stuart Stangeland
Senior Vice President
(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.

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About NPI 1962534727

Mercy Clinic Springfield Communities's National Provider Identifier is 1962534727, issued on Mar 9, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Republic, MO. The record was last updated on Jun 11, 2018.