NPIMap

Organization Active NPI

Mercy St Francis Hospital

Doing business as Mercy Clinic Family Medicine-Mountain Grove

  • Rural Health Clinic/Center
  • Mountain Grove, MO
National Provider Identifier
1639517832
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MERCY ST FRANCIS HOSPITAL
Doing business as
Mercy Clinic Family Medicine-Mountain Grove
Practice address
120 W 16TH St
Mountain Grove, MO 65711-1039
Phone
(417) 926-6111
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mr. Scott Reynolds
Title
VP-Finance
Phone
(417) 820-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

120 W 16TH St
Mountain Grove, MO 65711-1039

Mailing address

120 W 16TH St
Mountain Grove, MO 65711-1039
Phone (417) 926-6111

Other names 1

  • Mercy Clinic Family Medicine-Mountain Grove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy St Francis Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 W 16th St
Mountain Grv, MO 65711
Phone (417) 926-6111

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1639517832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 16TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111039",
            "telephone_number": "417-926-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 16TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111039",
            "telephone_number": "417-926-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ST FRANCIS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP-FINANCE",
        "authorized_official_telephone_number": "417-820-2818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic Family Medicine-Mountain Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.