Mercy Clinic Joplin Llc

LBN: Mercy Clinic Joplin Llc
Mercy Clinic Joplin Llc is an health care organization with primary practice located at 100 Mercy Way , Joplin MO 64804-4524. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mercy Clinic Joplin Llc can be contacted via phone (417) 556-2727, or through Godfrey, Tracy A via phone (417) 556-8962.

Contact Information

Primary practice address
100 Mercy Way Joplin MO 64804-4524
Phone: (417) 556-2727
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 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X Missouri

Profile Details

NPI number 1215264817
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 3rd, 2009
Last updated Apr 20th, 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 1215264817 NPPES
Missouri MEDICAID 1215264817
Missouri MEDICAID 200639810A
Missouri MEDICAID 200274980B
Missouri MEDICAID 181336002

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