Organization Active NPI

Mercy Hospital Springfield

  • Durable Medical Equipment & Medical Supplies
  • St Robert, MO
National Provider Identifier
1144401308
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCY HOSPITAL SPRINGFIELD
Practice address
594 Old Route 66
St Robert, MO 65584-3729
Phone
(573) 336-4111
Fax
(573) 336-4210
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

594 Old Route 66
St Robert, MO 65584-3729

Mailing address

1570 W Battlefield St
Suite 110
Springfield, MO 65807-4163
Phone (417) 820-5550

Other identifiers 1

IdentifierTypeStateIssuer
626319503MedicaidMO

Other names 1

  • Mercy Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1144401308",
    "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": "594 OLD ROUTE 66",
            "city": "ST ROBERT",
            "state": "MO",
            "postal_code": "655843729",
            "telephone_number": "573-336-4111",
            "fax_number": "573-336-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626319503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Robert, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.