Mercy Clinic Joplin LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MERCY CLINIC JOPLIN LLC

Practice address

3126 S Jackson Ave
Ste 200
Joplin, MO 64804-2534

Phone

(417) 625-2278

Fax

(417) 625-2277

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Stuart G Stangeland

Title

Authorized Official

Phone

(417) 820-3514

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Clinic Springfield Communities

  • Rural Health Clinic/Center
  • El Dorado Springs, MO
  • NPI 1851427785

  Member Of

  NPD member

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1689090888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 S JACKSON AVE",
            "address_2": "STE 200",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042534",
            "telephone_number": "417-625-2278",
            "fax_number": "417-625-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 S JACKSON AVE",
            "address_2": "STE 200",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042534",
            "telephone_number": "417-625-2278",
            "fax_number": "417-625-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC JOPLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "STANGELAND",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-820-3514"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215264817",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gavin Alexander Menotti
• Kyle Mense, D.O.
• Micah Madison Mense, RBT
• Lauren Menzina
• Mercy Clinic Joplin LLC
• Mercy Health Services Corporation
• Mercy Hospital Joplin
• Mercy Hospital Joplin
• Mercy Hospital Joplin
• Mercy Hospital Joplin

• Prosthetic/Orthotic Supplier in Joplin, MO
• Providers in Joplin, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.