Active NPI
Mercy Clinic-Springfield Communities
- Rural Health Clinic/Center
- Branson, MO
National Provider Identifier
1144498528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MERCY CLINIC-SPRINGFIELD COMMUNITIES
- Practice address
- 260 Terrace Rd
Branson, MO 65616-8909 - Phone
- (417) 336-2273
- Fax
- (417) 334-3609
- NPI assigned
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stuart G. Stangeland
- Title
- Senior Vice President/Coo
- Phone
- (417) 820-6556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | MO | Primary |
Addresses
Primary practice location
260 Terrace Rd
Branson, MO 65616-8909
Mailing address
PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 820-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144498528 | Other | MO | RURAL HEALTH MEDICAID |
Other names 1
- Mercy Clinic Famil Medicine-Branson
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430265600000",
"number": "1144498528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505164",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631505164",
"telephone_number": "417-820-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 TERRACE RD",
"city": "BRANSON",
"state": "MO",
"postal_code": "656168909",
"telephone_number": "417-336-2273",
"fax_number": "417-334-3609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINIC-SPRINGFIELD COMMUNITIES",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2015-04-29",
"status": "A",
"authorized_official_last_name": "STANGELAND",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT/COO",
"authorized_official_telephone_number": "417-820-6556",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH MEDICAID",
"identifier": "1144498528",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Clinic Famil Medicine-Branson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.