Mercy Clinic Family Medicine-Shell Knob

LBN: Mercy Clinic-Springfield Communities
Mercy Clinic Family Medicine-Shell Knob is an health care organization with primary practice located at 22361 Oak Ridge Dr , Shell Knob MO 65747-7822. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mercy Clinic-Springfield Communities can be contacted via phone (417) 858-3731, or through Stangeland, Stuart G. via phone (417) 820-6556.

Contact Information

Primary practice address
22361 Oak Ridge Dr Shell Knob MO 65747-7822
Phone: (417) 858-3731
Fax: (417) 858-2562
Website:
Map and Directions
Authorized official contact:
Name: Stangeland, Stuart G.
Phone: (417) 820-6556

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Missouri

Profile Details

NPI number 1104137876
LBN Legal business name Mercy Clinic-Springfield Communities
DBA Doing business as Mercy Clinic Family Medicine-Shell Knob
Authorized official Stangeland, Stuart G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2010
Last updated Apr 28th, 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 1104137876 NPPES
Missouri Other 1104137876 RURAL HEALTH MEDICAID

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