Mercy Clinic Joplin Llc

LBN: Mercy Clinic Joplin Llc
Mercy Clinic Joplin Llc is an health care organization with primary practice located at 101 W Sycamore St , Columbus KS 66725-1276. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mercy Clinic Joplin Llc can be contacted via phone (620) 429-3636, or through Godfrey, Tracy A via phone (417) 556-8962.

Contact Information

Primary practice address
101 W Sycamore St Columbus KS 66725-1276
Phone: (620) 429-3636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Godfrey, Tracy A Doctor of Medicine (MD)
Phone: (417) 556-8962

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1043547474
LBN Legal business name Mercy Clinic Joplin Llc
DBA Doing business as
Authorized official Godfrey, Tracy A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2009
Last updated Jul 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043547474 NPPES
Missouri MEDICAID 1043547474
Missouri MEDICAID 200639810B
Missouri Other 1043547474

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