Mercy Hospital Springfield

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCY HOSPITAL SPRINGFIELD

Practice address

1200 Deadra Dr
Lebanon, MO 65536-4669

Phone

(417) 588-9330

Fax

(417) 588-0217

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Scott R Reynolds

Title

Vice President Finance

Phone

(417) 820-2818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Medical Supply Doing business as

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1457533267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 W BATTLEFIELD ST",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074163",
            "telephone_number": "417-820-5550",
            "fax_number": "417-820-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DEADRA DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364669",
            "telephone_number": "417-588-9330",
            "fax_number": "417-588-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "417-820-2818"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620492009",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Hospital Lebanon
• Mercy Hospital Lebanon
• Mercy Hospital Lebanon
• Mercy Hospital Springfield
• Mercy Hospital Springfield
• Mercy Pharmacy Services, LLC
• Mercy St John'S
• Michael Montgomery OD PC
• Ginger L Miller, RPH
• Gregory A Miller, MD

• 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 Feb 10, 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.