Mercy Health Services Corporation

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MERCY HEALTH SERVICES CORPORATION

Doing business as

St. John's Medical Equipment Company

Practice address

3120 S Main St
Suite 10
Joplin, MO 64804-2643

Phone

(417) 627-8424

Fax

(417) 627-8425

NPI assigned

Jul 31, 2006

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George Caralis

Title

Chief Executive Officer

Phone

(417) 781-2727

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• St. John's Medical Equipment Company Doing business as

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1447265848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121037",
            "address_2": "DEPT 1037",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753121037",
            "telephone_number": "417-627-8424",
            "fax_number": "417-627-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S MAIN ST",
            "address_2": "SUITE 10",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042643",
            "telephone_number": "417-627-8424",
            "fax_number": "417-627-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "CARALIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "417-781-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "400802",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100139610D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV NUMBER",
            "identifier": "104160",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628124703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Medical Equipment Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gavin Alexander Menotti
• Kyle Mense, D.O.
• Lauren Menzina
• Mercy Clinic Joplin LLC
• Mercy Clinic Joplin LLC
• Mercy Hospital Joplin (Mercy Pharmacy Joplin)
• Mercy Hospital Joplin (Mercy Medical Supply)
• Mercy Hospital Joplin
• Mercy Hospital Joplin
• Mercy Hospital Joplin

• Oxygen Equipment & Supplies (DME) in Joplin, MO
• Providers in Joplin, MO by specialty
• Oxygen Equipment & Supplies (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.