Mercy Hospital Springfield
Organization Active NPI Land Ambulance · Winona, MO
NPI 1538380654 · NPPES record last updated Jan 31, 2012
Key facts
- NPI
- 1538380654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 203009 (MO)
- Legal business name
- MERCY HOSPITAL SPRINGFIELD
- Practice address
- 1012 N Highway 19
Winona, MO 65588 - Phone
- (573) 325-4644
- NPI assigned
- May 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott R Reynolds
- Title
- Vice President - Finance
- Phone
- (417) 820-2818
Owners & managing parties with NPI records 2
-
Dominic M. Meldi, MD
-
John M Mohart, M.D.
Other NPIs on the same Medicare enrollment 8
Affiliated clinicians 1,271
-
Muhammad Khalid Abbas, M.D.
-
Ibrahim Abdalla, M.D.
-
Nurelign G. Abebe, M.D.
-
Beatrice Abraham, DO
-
Laith Abushanab, MD
-
Jessica L Acre, RN
-
McKenzie Adam-Hager, CRNA
-
Eminajulo Adekoya, M.D.
-
Anees F Afroze, M.D
-
Yvonne Marie Agius, M.D.
-
Malik I Ahmed, MD
-
Muhammad Al Sharif, D.O.
-
Omar Samir Al-Taweel, MBBS
-
Eric Dane Albaugh, CRNA
-
Sheny Alex, MD
-
Julie A Alford, MD
-
Muhammad Z Ali, M.D
-
Yaqoob Ali, M.D.
Medicare Care Compare: Hospital
- Listed as
- Mercy Hospital Springfield
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
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
- Corporation · Non-profit
- Enrollment address
- 1235 E Cherokee St
Springfield, MO 65804-2203 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| John M Mohart |
Corporate Director |
Jan 9, 2026 | |
| Dominic M Meldi |
Corporate Director |
Jan 9, 2026 | |
| Mercy Health Springfield Communities |
5% Or Greater Direct Ownership Interest | Feb 2, 2012 | 100% |
| Denise Scoffic |
Corporate Officer |
Jan 1, 2026 | |
| Stacie Farnam |
W-2 Managing Employee |
Jan 1, 2021 | |
| Mercy Health |
5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| William J Roberts |
Corporate Officer | May 20, 2020 | |
| W-2 Managing Employee |
May 20, 2020 | ||
| Jennifer Brown |
Corporate Officer |
Jan 1, 2026 | |
| Patricia Gelbach |
Corporate Director |
Jan 9, 2026 | |
| David G Argueta |
Corporate Officer |
Jun 1, 2022 | |
| Johnathan Myers |
Corporate Director |
Jul 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080121000031 | MO | Part a Provider - Hospital | 7416867593 |
8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 203009 | MO | Yes |
Addresses
Primary practice location
1012 N Highway 19
Winona, MO 65588
Mailing address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800459117 | Medicaid | MO |
Other names
- Mercy Emergency Medical Services-Shannon County
Other providers in Winona, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.