NPIMap

Organization Active NPI

Mercy St. Francis Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Mountain View, MO
National Provider Identifier
1043357015
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
447-8 Issued in MO
Legal business name
MERCY ST. FRANCIS HOSPITAL
Doing business as
Mercy St. Francis Hospital
Practice address
100 W US Highway 60
Mountain View, MO 65548
Phone
(417) 934-7000
Fax
(417) 934-7197
NPI assigned
Jan 31, 2007
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
Title
Cfo
Phone
(417) 820-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 447-8 MO Primary

Addresses

Primary practice location

100 W US Highway 60
Mountain View, MO 65548

Mailing address

100 W US Highway 60
Mountain View, MO 65548-8542
Phone (417) 934-7000

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
This NPI is an additional NPI on the enrollment
Practice locations: Mountain View, MO
O20080605000706 MO Part A Provider - Critical Access Hospital 7810806643 Practice locations: Mountain View, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043357015. Details of each certification follow.

Hospital certification: CCN 26Z335

Legal name
MERCY ST FRANCIS HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jun 13, 1957 in MO
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.

National Provider Directory

National Provider Directory
Tax ID family
Community Health Clinic11 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
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%
Christie Eckhardt Individual Corporate OfficerSecretary Jul 1, 2021
Robert Hollis Individual Corporate DirectorBoard Member Jul 1, 2022
Stacie Farnam Individual W-2 Managing Employee Jan 1, 2021
Mercy Health Organization, Chesterfield, MO Non-profit Operational/Managerial Control Feb 2, 2012 100%
Adriana Gelatikova Individual Corporate Director Jul 1, 2021
Elena Petrik Individual Corporate Officer 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, 2016
Jon W Roberts Individual Corporate DirectorBoard Member Jul 1, 2022
Sherry Clouse Day Individual Corporate OfficerTreasurer May 20, 2020
W-2 Managing Employee May 20, 2020
David G Argueta Individual Corporate Director 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 134

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 134

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1043357015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W US HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488542",
            "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 W US 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": "2007-01-31",
        "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"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MO",
            "license": "447-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.