Mercy Clinic Springfield Communities

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCY CLINIC SPRINGFIELD COMMUNITIES

Doing business as

Mercy Clinic-Lebanon-OB/GYN

Practice address

120 Hospital Dr
Suite 250
Lebanon, MO 65536-9238

Phone

(417) 533-6710

Fax

(417) 533-6719

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Donn E. Sorensen

Title

Senior Vice President

Phone

(417) 829-4264

Specialties & licenses 1

Addresses

Other names 1

• Mercy Clinic-Lebanon-OB/GYN Doing business as

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1184831695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-829-4620",
            "fax_number": "417-829-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR",
            "address_2": "SUITE 250",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369238",
            "telephone_number": "417-533-6710",
            "fax_number": "417-533-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC SPRINGFIELD COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "417-829-4264"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic-Lebanon-OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mychelle Luann McGlynn, PTA
• Kelsey McGuire
• Kendra McMillion
• Emily H Mebruer, MD
• Menm, LLC
• Mercy Clinic Springfield Communities
• Mercy Clinic Springfield Communities
• Mercy Clinic Springfield Communities
• Mercy Clinic-Springfield Communities
• Mercy Clinic-Springfield Communities

• Durable Medical Equipment & Medical Supplies in Lebanon, MO
• Providers in Lebanon, 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 Jan 31, 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.