Mercy Hospital Springfield

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCY HOSPITAL SPRINGFIELD

Doing business as

Mercy Medical Supply

Practice address

1100 W 10TH St
Suite 150
Rolla, MO 65401-2937

Phone

(573) 426-2244

Fax

(573) 426-2277

NPI assigned

Oct 28, 2008

Last updated

Feb 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Reynolds

Title

Vice President Finance

Phone

(417) 820-2818

Specialties & licenses 1

Addresses

Other names 1

• Mercy Medical Supply Doing business as

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1053564674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 W BATTLEFIELD ST",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074163",
            "telephone_number": "417-820-5550",
            "fax_number": "417-820-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 10TH ST",
            "address_2": "SUITE 150",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012937",
            "telephone_number": "573-426-2244",
            "fax_number": "573-426-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "417-820-2818"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Clinic-Springfield Communities (Mercy Clinic-Rolla Medical Group)
• Mercy Clinic-Springfield Communities (Mercy Clinic Family Medicine - Rolla)
• Mercy Hospital Lebanon (Mercy Surgery Center-Lebanon at Rolla)
• Mercy Hospital Lebanon
• Mercy Hospital Lebanon
• Mercy Hospital Springfield (Mercy Pharmacy-Rolla)
• Mercy Pharmacy Services, LLC (Mercy Pharmacy Rolla)
• Derrick Meyers, PHD, BA
• Mi Serenity
• Nathan Micklautz, CRNA

• Durable Medical Equipment & Medical Supplies in Rolla, MO
• Providers in Rolla, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.