Active NPI
Mercy Clinic Springfield Communities
Doing business as Mercy Clinic Family Medicine-Monett
- Rural Health Clinic/Center
- Monett, MO
National Provider Identifier
1598894339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MERCY CLINIC SPRINGFIELD COMMUNITIES
- Doing business as
- Mercy Clinic Family Medicine-Monett
- Practice address
- 315 E Cleveland Ave
Monett, MO 65708-1704 - Phone
- (417) 235-4334
- Fax
- (417) 235-7459
- NPI assigned
- Mar 5, 2007
- Last updated
- Apr 28, 2015
- Organization subpart
- No
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | MO | Primary | |
| Family Nurse Practitioner | 363LF0000X | 097868 | MO | |
| Family Medicine Physician | 207Q00000X | R8H37 | MO |
Addresses
Primary practice location
315 E Cleveland Ave
Monett, MO 65708-1704
Mailing address
PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 820-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 599084902 | Medicaid | MO |
Other names 1
- Mercy Clinic Family Medicine-Monett
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0874193 | Mercy Family Medicine Monett | Certificate of waiver | May 4, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Family Practice Medical Ctr
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Danville, IL
- NPI 1326322736
-
- Rural Health Clinic/Center
- Danville, IL
- NPI 1659312072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430179200000",
"number": "1598894339",
"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": "315 E CLEVELAND AVE",
"city": "MONETT",
"state": "MO",
"postal_code": "657081704",
"telephone_number": "417-235-4334",
"fax_number": "417-235-7459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINIC SPRINGFIELD COMMUNITIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"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": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "097868",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R8H37",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "599084902",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Clinic Family Medicine-Monett",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monett, MO
- Scott Alan McSpadden, O.D.
- Melvin Hodde DO LLC
- Mending Trauma LLC
- Menm, LLC
- Mercy Clinic Springfield Communities (Mercy Clinic-Urgent Care-Monett)
- Mercy Hospital Aurora (Mercy Clinic Monett)
- Karissa A Merritt, DO
- Caden Miller, COTA
- Hope Miller, LPC
- Monett Health Care LLC (Bentonview Park Health & Rehabilitation)
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.