NPIMap

Organization Active NPI

Mercy St. Francis Hospital

  • Critical Access Hospital
  • Mountain View, MO
National Provider Identifier
1023053477
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
447-7 Issued in MO
Legal business name
MERCY ST. FRANCIS HOSPITAL
Doing business as
Mercy St. Francis Hospital
Practice address
100 West Highway 60
Mountain View, MO 65548
Phone
(417) 934-7000
Fax
(417) 934-7197
NPI assigned
Jun 19, 2006
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherry Clouseday, AO
Title
Cfo
Phone
(417) 820-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 447-7 MO Primary

Addresses

Primary practice location

100 West Highway 60
Mountain View, MO 65548

Mailing address

100 West Highway 60
Mountain View, MO 65548-0082
Phone (417) 934-7000

Other identifiers 8

IdentifierTypeStateIssuer
111065OtherMOHEALTH LINK
8P159OtherAKARKANSAS BCBS-PHYSICIAN
50046OtherMOPREMIER-PHYSICIAN
260018OtherMOPREMIER INPATIENT
83310OtherAKARKANSAS BCBS-INPATIENT
540491602MedicaidMO
120844105MedicaidAR
010491603MedicaidMO

Other names 1

  • Mercy St. Francis Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040120000229 MO Part B Supplier - Clinic/Group Practice 7810806643 Receives reassigned benefits from 136 practitioners
1 other NPI on this enrollment
Practice locations: Mountain View, MO
O20061104000139 MO Part A Provider - Critical Access Hospital 7810806643 Receives reassigned benefits from 128 practitioners
Practice locations: Mountain View, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023053477. Details of each certification follow.

Hospital certification: CCN 261335

Legal name
MERCY ST FRANCIS HOSPITAL
Doing business as
MERCY ST FRANCIS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 19, 2005
Last certification
Jun 3, 2010
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
100 W US Highway 60
Mountain View, MO 65548-8542
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy St Francis HospitalCCN 261335 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Summerville Medical Cli11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cabrini Koelsch Individual Corporate Director Feb 1, 2012
Jamie Wilke Individual Corporate OfficerSecretary Jul 1, 2024
Congregation of the Daughters of St. Francis of Assisi Organization, Lacon, IL Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2008 100%
Hilary a Frescoln Individual Corporate Director Jul 1, 2013
Cheryl L Matejka Individual Operational/Managerial ControlSVP-Cfo Jul 1, 2021
Mercy Health Springfield Communities Organization, Springfield, MO Non-profit 5% Or Greater Direct Ownership Interest Feb 2, 2012 100%
Robert Hollis Individual Corporate DirectorBoard Member Jul 1, 2022
Stacie Farnam Individual W-2 Managing EmployeeDirector Jan 21, 2021
Mercy Health Organization, Chesterfield, MO Non-profit Operational/Managerial Control Mar 31, 2008 100%
Adriana Gelatikova Individual Corporate Director Jul 1, 2021
Elena Petrik Individual Corporate Director Sep 1, 2017
Deedra Nicholson Individual Corporate DirectorBoard Member Jul 1, 2021
Valerie Davis Individual Corporate DirectorAdministrator Jul 1, 2022
J C Kuessner Individual Corporate Director Jul 1, 2017
Jon W Roberts Individual Corporate DirectorBoard Member Jul 1, 2022
Sherry Clouse Day Individual Corporate OfficerTreasurer May 20, 2020
W-2 Managing EmployeeVP Finance May 20, 2020
David G Argueta Individual Corporate DirectorCommunity President Jun 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 115

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 115

Practitioners & affiliated clinicians

Practitioners 151

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 151

Affiliated clinicians 174

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 174

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1023053477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655480082",
            "telephone_number": "417-934-7000",
            "fax_number": "417-934-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "65548",
            "telephone_number": "417-934-7000",
            "fax_number": "417-934-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ST. FRANCIS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "CLOUSEDAY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-820-8439",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "447-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "111065",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS-PHYSICIAN",
            "identifier": "8P159",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER-PHYSICIAN",
            "identifier": "50046",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER INPATIENT",
            "identifier": "260018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS-INPATIENT",
            "identifier": "83310",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540491602",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120844105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010491603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy St. Francis Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy St. Francis Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, MO

Sources for this page

Verify at the official NPI Registry.