Mercy St. Francis Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Mountain View, MO
NPI 1043357015 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1043357015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 447-8 (MO)
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- Sherry Clouseday
- Title
- Cfo
- Phone
- (417) 820-8439
Owners & managing parties with NPI records 2
-
Jon W. Roberts, DO
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 10
Related certifications (CCN) 1
Facilities with the same owner 115
Practitioners 134
-
Shamuel Meyerovich Day, MD, MPH
-
Zachary Greenlee, MD
-
Kendra L Harralston, APRN
-
Marcus R Hennon, D.O
-
Pearl Ann Hunter, FNP
-
Donna D Akers, FNP-C
-
Conrad Mitchell Bajor, D.O.
-
Sharad Bansal, MD
-
Nathaniel Barbe, DO
-
Courtney Elizabeth Beard, M.D.
-
Adam Harty Beckett, D.O.
-
Sarah Elizabeth Bolin, CRNA, DNAP
-
Christy Marie Brewer, CRNA
-
Pamela Latarsha Buchanan, M.D.
-
Brittni Cox, DO
-
Zachary Winsor Dalton, D.O.
Affiliated clinicians 1
-
Zachary Greenlee, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Hospital certification: CCN 26Z335
- Legal name
- MERCY ST FRANCIS HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 13, 1957 in MO
- Enrollment address
- 100 W US Highway 60
Mountain View, MO 65548-8542
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Cabrini Koelsch |
Corporate Director | Feb 1, 2012 | |
| Congregation of the Daughters of St. Francis of Assisi |
5% Or Greater Indirect Ownership Interest | Apr 1, 2008 | 100% |
| Hilary a Frescoln |
Corporate Director | Jul 1, 2013 | |
| Cheryl L Matejka |
Operational/Managerial Control |
Jul 1, 2021 | |
| Mercy Health Springfield Communities |
5% Or Greater Direct Ownership Interest | Feb 2, 2012 | 100% |
| Christie Eckhardt |
Corporate Officer |
Jul 1, 2021 | |
| Robert Hollis |
Corporate Director |
Jul 1, 2022 | |
| Stacie Farnam |
W-2 Managing Employee | Jan 1, 2021 | |
| Mercy Health |
Operational/Managerial Control | Feb 2, 2012 | 100% |
| Adriana Gelatikova |
Corporate Director | Jul 1, 2021 | |
| Elena Petrik |
Corporate Officer | Sep 1, 2017 | |
| Deedra Nicholson |
Corporate Director |
Jul 1, 2021 | |
| Valerie Davis |
Corporate Director |
Jul 1, 2022 | |
| J C Kuessner |
Corporate Director | Jul 1, 2016 | |
| Jon W Roberts |
Corporate Director |
Jul 1, 2022 | |
| Sherry Clouse Day |
Corporate Officer |
May 20, 2020 | |
| W-2 Managing Employee | May 20, 2020 | ||
| David G Argueta |
Corporate Director | Jun 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Summerville Medical
Networks
- devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 447-8 | MO | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010491603 | Medicaid | MO | |
| 260018 | Other | MO | PREMIER INPATIENT |
| 83310 | Other | AK | ARKANSAS BCBS-INPATIENT |
| 50046 | Other | MO | PREMIER-PHYSICIAN |
| 8P159 | Other | AK | ARKANSAS BCBS-PHYSICIAN |
| 111065 | Other | MO | HEALTH LINK |
| 540491602 | Medicaid | MO |
Other names
- Mercy St. Francis Hospital
Other providers in Mountain View, MO
- Mercy Hospital Springfield
- Mercy Hospital Springfield
- Mercy Hospital Springfield
- Mercy St Francis Hospital
- Mercy St. Francis Hospital
- Mountain View-Birch Tree School Dist R 3
- Brittany Paige Nickelson
- Brett Catherine Niehaus
- Lydia Rose Orr
- Crystal Dawn Phipps
All providers in Mountain View, MO · Medicare Defined Swing Bed Hospital Unit in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.