Mercy Hospital Cassville
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Cassville, MO
NPI 1154535342 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1154535342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- MERCY HOSPITAL CASSVILLE
- Practice address
- 94 Main St
Cassville, MO 65625 - Phone
- (417) 847-6000
- Fax
- (417) 846-1845
- NPI assigned
- May 9, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- MERCY HOSPITAL CASSVILLE
Authorized official
- Name
- Mrs. Sherry Clouse Day
- Title
- VP Finance
- Phone
- (417) 820-8439
Owners & managing parties with NPI records 2
-
Travis Tyler Hawks, M.D.
-
Jaime Zengotita, MD
Other NPIs with the same Medicare PAC ID 1
Related certifications (CCN) 1
Facilities with the same owner 115
Practitioners 164
-
Paul Berry Andelin, M.D.
-
Kerry Duane Cox, M.D.
-
Jeffery C Diehl, M.D.
-
Jared Emery, D.O.
-
Travis Tyler Hawks, M.D.
-
Benjamin Glen Leavitt, M.D.
-
Clayton Preston, DO
-
Blake Anderson, M.D.
-
Jacob Lee Baalman, M.D.
-
Conrad Mitchell Bajor, D.O.
-
Cody Allen Baker, MD
-
Sharad Bansal, MD
-
Courtney Elizabeth Beard, M.D.
-
Adam Harty Beckett, D.O.
-
Travis James Bell, PA-C
-
Danielle Marie Bishop, D.O.
Affiliated clinicians 2
-
Benjamin Glen Leavitt, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Hospital certification: CCN 26Z317
- Legal name
- MERCY HOSPITAL CASSVILLE
- Doing business as
- MERCY HOSPITAL CASSVILLE
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 94 Main St
Cassville, MO 65625-1610
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Cabrini Koelsch |
Corporate Director | Feb 1, 2012 | |
| John Lee |
Corporate Officer |
Jul 1, 2021 | |
| Corporate Director | Jul 1, 2015 | ||
| Cheryl L Matejka |
Operational/Managerial Control |
Jul 1, 2021 | |
| Mercy Health Springfield Communities |
5% Or Greater Direct Ownership Interest | Feb 3, 2012 | 100% |
| Christie Eckhardt |
Corporate Officer |
Jul 1, 2021 | |
| Jaime Zengotita |
Corporate Director |
Jul 1, 2021 | |
| Stacie Farnam |
W-2 Managing Employee | Jan 1, 2021 | |
| Mercy Health |
5% Or Greater Indirect Ownership Interest | Dec 3, 2012 | 100% |
| Billy Redus |
Corporate Director | Jul 1, 2016 | |
| Valerie Davis |
Corporate Director |
Nov 23, 2020 | |
| Traci Mitchell |
Corporate Director |
Jul 1, 2021 | |
| Earle W Shiveley |
Corporate Director |
Jul 1, 2022 | |
| Danielle Nichole Still |
Corporate Director |
Jul 1, 2020 | |
| Travis T Hawks |
Corporate Director |
Jul 1, 2018 | |
| Sherry Clouse Day |
Corporate Officer |
May 20, 2020 | |
| W-2 Managing Employee | May 20, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220526000080 | MO | Part a Provider - Critical Access Hospital | 8820999139 | Practice locations: Cassville, MO |
National Provider Directory
- Part of
- St Johns Cassville Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes | ||
| 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
- Mercy Hospital Cassville
Other providers in Cassville, MO
- Victor R Mangler
- Mark D Matthews
- Stephen Joseph Mebruer
- Mercy Clinic Springfield Communities
- Mercy Hospital Cassville
- Mercy Hospital Cassville
- Mercy Hospital Springfield
- Meridian Healthcare LLC
- Melissa E Miller
- Lisa R Mitchell
All providers in Cassville, MO · Medicare Defined Swing Bed Hospital Unit in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.