NPIMap

Organization Active NPI

Mercy Hospital Springfield

Doing business as Mercy Emergency Medical Services-Carroll County

  • Land Ambulance
  • Green Forest, AR
National Provider Identifier
1477756609
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
125 Issued in AR
Legal business name
MERCY HOSPITAL SPRINGFIELD
Doing business as
Mercy Emergency Medical Services-Carroll County
Practice address
200 Sparky Street
Green Forest, AR 72638-2713
Phone
(870) 438-5718
NPI assigned
Jun 6, 2007
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Mr. Scott R Reynolds
Title
Vice President - Finance
Phone
(417) 820-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 125 AR Primary

Addresses

Primary practice location

200 Sparky Street
Green Forest, AR 72638-2713

Mailing address

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2000

Other identifiers 2

IdentifierTypeStateIssuer
112388715MedicaidAR
1477756609MedicaidMO

Other names 1

  • Mercy Emergency Medical Services-Carroll County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080121000031 MO Part A Provider - Hospital 7416867593 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477756609. Details of each certification follow.

Hospital certification: CCN 260065

Legal name
MERCY HOSPITAL SPRINGFIELD
Doing business as
MERCY HOSPITAL SPRINGFIELD
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 27, 2008
Beds
866 (814 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1235 E Cherokee St
Springfield, MO 65804-2203
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital SpringfieldCCN 260065 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John M Mohart Individual Corporate DirectorBoard Member Jan 9, 2026
Dominic M Meldi Individual Corporate DirectorBoard Member Jan 9, 2026
Mercy Health Springfield Communities Organization, Springfield, MO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2012 100%
Denise Scoffic Individual Corporate OfficerSVP Jan 1, 2026
Stacie Farnam Individual W-2 Managing EmployeeDirector Jan 1, 2021
Mercy Health Organization, Chesterfield, MO Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
William J Roberts Individual Corporate Officer May 20, 2020
W-2 Managing EmployeeCfo May 20, 2020
Jennifer Brown Individual Corporate OfficerSecretary Jan 1, 2026
Patricia Gelbach Individual Corporate DirectorBoard Member Jan 9, 2026
David G Argueta Individual Corporate OfficerPresident Jun 1, 2022
Johnathan Myers Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,271

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,271

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1477756609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPARKY STREET",
            "city": "GREEN FOREST",
            "state": "AR",
            "postal_code": "726382713",
            "telephone_number": "870-438-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-12-17",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112388715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477756609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Emergency Medical Services-Carroll County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Forest, AR

Sources for this page

Verify at the official NPI Registry.