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Organization Active NPI

Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
National Provider Identifier
1043242159
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
38-48 Issued in MO
Legal business name
MERCY HOSPITAL SPRINGFIELD
Doing business as
Mercy Hospital Springfield
Practice address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone
(417) 820-2000
NPI assigned
Jul 7, 2006
Last updated
Sep 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
William Roberts
Title
VP Finance
Phone
(417) 820-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 38-48 MO Primary

Addresses

Primary practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Mailing address

PO Box 776084
Chicago, IL 60677-6084

Other identifiers 1

IdentifierTypeStateIssuer
540135407MedicaidMO

Other names 1

  • Mercy Hospital Springfield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050118000038 MO Part B Supplier - Clinic/Group Practice 7416867593 Receives reassigned benefits from 197 practitioners
1 other NPI on this enrollment
Practice locations: Branson, MO; Springfield, MO

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.

National Provider Directory

National Provider Directory

Locations

1235 E Cherokee St
Chicago, IL 60677

670 Branson Landing Blvd
Branson, MO 65616
Phone (417) 332-2990

1235 E Cherokee St
#100
Springfield, MO 65804

1235 E Cherokee St
#120
Springfield, MO 65804

1845 E Rogers Ave
Springfield, MO 65804
Phone (417) 820-2914

1965 S Fremont Ave
Ste 220
Springfield, MO 65804
Phone (417) 820-0280

1965 S Fremont Ave
Ste 350
Springfield, MO 65804
Phone (417) 576-5409

2115 S Fremont Ave
Ste 5000
Springfield, MO 65804
Phone (417) 820-3912

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integrity Home Care + HospiceSpringfield, MO, CCN 267576 Home health agency 5% Or Greater Direct Ownership Interest (30%) Nov 1, 2018
Integrity Home Care + HospiceSpringfield, MO, CCN 261646 Hospice 5% Or Greater Direct Ownership Interest (30%) Nov 1, 2018

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 316

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 316

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1043242159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "417-820-7363"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "38-48",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540135407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Springfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Hospital Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.