Mercy Clinic Joplin Llc

LBN: Mercy Clinic Joplin Llc
Mercy Clinic Joplin Llc is an health care organization with primary practice located at 3126 S Jackson Ave Ste 200, Joplin MO 64804-2534. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Mercy Clinic Joplin Llc can be contacted via phone (417) 625-2278, or through Stangeland, Stuart G via phone (417) 820-3514.

Contact Information

Primary practice address
3126 S Jackson Ave Ste 200 Joplin MO 64804-2534
Fax: (417) 625-2277
Website:
Authorized official contact:
Name: Stangeland, Stuart G

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1689090888
LBN Legal business name Mercy Clinic Joplin Llc
DBA Doing business as
Authorized official Stangeland, Stuart G
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2014
Last updated Mar 21st, 2014 - 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 1689090888 NPPES
Missouri MEDICAID 1215264817

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