Mercy Clinic-Springfield Communities

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Practice address

517 Coy Blvd
Forsyth, MO 65653-5083

Phone

(417) 546-2446

Fax

(417) 546-4720

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Stuart G. Stangeland

Title

Senior Vice President/Coo

Phone

(417) 820-6556

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mercy Clinic Family Medicine-Forsyth Doing business as

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1275660847",
    "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": "517 COY BLVD",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "656535083",
            "telephone_number": "417-546-2446",
            "fax_number": "417-546-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC-SPRINGFIELD COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-04-28",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "113864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595872805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic Family Medicine-Forsyth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeside Mountain Manor Opco LLC
• Bill Lauderdale
• Robert H Mace, MA, LPC
• Merry Elizabeth McBride
• Linda J McKinney, FNP
• Allison Merrell, M.S., CCC-SLP
• Mike Stuart Enterprises, Inc.
• Darla J. Monholland
• Reed Click, MD, LLC
• Regional Services

• Rural Health Clinic/Center in Forsyth, MO
• Providers in Forsyth, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.