NPIMap

Organization Active NPI

Mercy Hospital Lebanon

Doing business as Mercy Surgery Center-Lebanon at Rolla

  • Ambulatory Surgical Clinic/Center
  • Rolla, MO
National Provider Identifier
1043562358
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MERCY HOSPITAL LEBANON
Doing business as
Mercy Surgery Center-Lebanon at Rolla
Practice address
1605 Martin Springs Dr
Rolla, MO 65401-2931
Phone
(417) 820-2818
NPI assigned
Oct 10, 2012
Last updated
May 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Mr. Scott Reynolds
Title
VP-Finance
Phone
(417) 820-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1605 Martin Springs Dr
Rolla, MO 65401-2931

Mailing address

1605 Martin Springs Dr
Rolla, MO 65401-2931
Phone (417) 820-2818

Other names 1

  • Mercy Surgery Center-Lebanon at Rolla Doing business as

National Provider Directory

National Provider Directory

Locations

874 S Jefferson Ave
#D
Lebanon, MO 65536
Phone (417) 532-3638

1605 Martin Springs Dr
Ste 160
Rolla, MO 65401
Phone (573) 458-6365

1605 Martin Springs Dr
Ste 360
Rolla, MO 65401
Phone (417) 533-6094

1605 Martin Springs Dr
Ste 360A
Rolla, MO 65401
Phone (573) 458-6476

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1043562358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 MARTIN SPRINGS DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012931",
            "telephone_number": "417-820-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 MARTIN SPRINGS DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012931",
            "telephone_number": "417-820-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL LEBANON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP-FINANCE",
        "authorized_official_telephone_number": "417-820-2818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Surgery Center-Lebanon at Rolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.