NPIMap

Organization Active NPI

Mercy Hospital Lincoln

  • Critical Access Hospital
  • Troy, MO
National Provider Identifier
1962808733
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
MERCY HOSPITAL LINCOLN
Practice address
1000 E Cherry St
Troy, MO 63379-1513
Phone
(636) 528-8551
NPI assigned
Nov 6, 2014
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Mr. Mark Thorn
Title
Executive Director Finance
Phone
(636) 528-3329

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary
Counselor 101Y00000X
Anesthesiology Physician 207L00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

1000 E Cherry St
Troy, MO 63379-1513

Mailing address

1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-8551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150217000619 MO Part A Provider - Critical Access Hospital 5193040020 Receives reassigned benefits from 76 practitioners
Practice locations: Troy, MO
O20150623002541 MO Part B Supplier - Clinic/Group Practice 5193040020 Receives reassigned benefits from 232 practitioners
5 other NPIs on this enrollment
Practice locations: Elsberry, MO; Troy, MO; Winfield, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962808733. Details of each certification follow.

Hospital certification: CCN 261319

Legal name
MERCY HOSPITAL LINCOLN
Doing business as
MERCY HOSPITAL LINCOLN
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2004
Last certification
Sep 29, 2005
Beds
25
Ownership / control type
Local
Organization structure
CorporationNon-profit
Enrollment address
1000 E Cherry St
Troy, MO 63379-1513
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital LincolnCCN 261319 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

17701 Edison Ave
Ste 101
Chesterfield, MO 63005
Phone (636) 735-4122

106 Broadway St
Ste 3C
Elsberry, MO 63343
Phone (573) 898-9100

755 Dunn Rd
Ste 110
Hazelwood, MO 63042
Phone (314) 731-1113

1000 Des Peres Rd
Ste 310
Saint Louis, MO 63131
Phone (314) 821-1313

10700 Manchester Rd
Ste D
Saint Louis, MO 63122
Phone (314) 822-6830

12700 Southfork Rd
Ste 200
Saint Louis, MO 63128
Phone (314) 525-4971

625 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-0175

1000 E Cherry St
Fl 1
Troy, MO 63379
Phone (636) 528-5428

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Suzette Morris Individual Corporate DirectorBoard Member Apr 23, 2025
Mercy Hospitals East Communities Organization, Saint Louis, MO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2015 100%
Claudia Ward Individual Corporate Director Jul 1, 2021
Annette S Meyer Individual Corporate DirectorBoard Member Jul 1, 2022
Sarah Burkemper Individual Corporate DirectorBoard Member Jul 1, 2021
John Barry Kelly Individual Corporate DirectorBoard Member Jul 1, 2021
Anthony Rothermich Individual Corporate OfficerPresident Mar 1, 2015
Timothy L Reller Individual Corporate DirectorBoard Member Jul 1, 2020
Bradley J Massey Individual Corporate DirectorBoard Member Jul 1, 2020
Denise Scoffic Individual Corporate OfficerSVP Jan 1, 2026
Stacie Farnam Individual W-2 Managing EmployeeDirector Jul 8, 2022
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit, Chain home office Operational/Managerial Control Jul 1, 2021 100%
David J Meiners Individual Corporate DirectorBoard Member Jul 1, 2022
Harvey D Rhoads Individual Corporate DirectorBoard Member Nov 19, 2019
Jennifer Brown Individual Corporate OfficerSecretary Jan 9, 2026
Mark Penny Individual Corporate DirectorBoard Member Jul 1, 2020
Mercy Health East Communities Organization, Saint Louis, MO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 2, 2015 100%
Sherry Clouse Day Individual Corporate OfficerVP Finance Mar 1, 2026
Rod Hamlett Individual Corporate DirectorBoard Member Apr 23, 2025
Brian Day Individual Corporate OfficerSVP Apr 23, 2025

Owners & managing parties with NPI records 6

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

Facilities with the same owner 117

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 117

Practitioners & affiliated clinicians

Practitioners 251

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 251

Affiliated clinicians 171

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

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1962808733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791513",
            "telephone_number": "636-528-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791513",
            "telephone_number": "636-528-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL LINCOLN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR FINANCE",
        "authorized_official_telephone_number": "636-528-3329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.