NPIMap

Organization Active NPI

Mercy Hospital Cassville

  • Medicare Defined Swing Bed Hospital Unit
  • Cassville, MO
National Provider Identifier
1154535342
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MERCY HOSPITAL CASSVILLE
Doing business as
Mercy Hospital Cassville
Practice address
94 Main St
Cassville, MO 65625
Phone
(417) 847-6000
Fax
(417) 846-1845
NPI assigned
May 9, 2007
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITAL CASSVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Mrs. Sherry Clouse Day
Title
VP Finance
Phone
(417) 820-8439

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary
Critical Access Hospital 282NC0060X R3J81 MO

Addresses

Primary practice location

94 Main St
Cassville, MO 65625

Mailing address

94 Main St
Cassville, MO 65625-1610

Other names 1

  • Mercy Hospital Cassville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220526000080 MO Part A Provider - Critical Access Hospital 8820999139 Practice locations: Cassville, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154535342. Details of each certification follow.

Hospital certification: CCN 26Z317

Legal name
MERCY HOSPITAL CASSVILLE
Doing business as
MERCY HOSPITAL CASSVILLE
Organization structure
CorporationNon-profit
Enrollment address
94 Main St
Cassville, MO 65625-1610
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
St Johns Cassville Inc

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cabrini Koelsch Individual Corporate Director Feb 1, 2012
John Lee Individual Corporate OfficerVice President Jul 1, 2021
Corporate Director Jul 1, 2015
Cheryl L Matejka Individual Operational/Managerial ControlSVP-Cfo Jul 1, 2021
Mercy Health Springfield Communities Organization, Springfield, MO Non-profit 5% Or Greater Direct Ownership Interest Feb 3, 2012 100%
Christie Eckhardt Individual Corporate OfficerSecretary Jul 1, 2021
Jaime Zengotita Individual Corporate DirectorBoard Member Jul 1, 2021
Stacie Farnam Individual W-2 Managing Employee Jan 1, 2021
Mercy Health Organization, Chesterfield, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 3, 2012 100%
Billy Redus Individual Corporate Director Jul 1, 2016
Valerie Davis Individual Corporate DirectorAdministrator Nov 23, 2020
Traci Mitchell Individual Corporate DirectorBoard Member Jul 1, 2021
Earle W Shiveley Individual Corporate DirectorBoard Member Jul 1, 2022
Danielle Nichole Still Individual Corporate DirectorBoard Member Jul 1, 2020
Travis T Hawks Individual Corporate DirectorBoard Member Jul 1, 2018
Sherry Clouse Day Individual Corporate OfficerTreasurer May 20, 2020
W-2 Managing Employee May 20, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 115

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 115

Practitioners & affiliated clinicians

Practitioners 164

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 164

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1154535342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "65625",
            "telephone_number": "417-847-6000",
            "fax_number": "417-846-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL CASSVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL CASSVILLE",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CLOUSE DAY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "417-820-8439",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "R3J81",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Cassville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Hospital Cassville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cassville, MO

Sources for this page

Verify at the official NPI Registry.