Mercy Clinic Family Medicine-St. James

LBN: Mercy Clinic Springfield Communities
Mercy Clinic Family Medicine-St. James is an health care organization with primary practice located at 107 W Eldon St , Saint James MO 65559. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Mercy Clinic Springfield Communities can be contacted via phone (573) 265-1818, or through Cavagnol, Robert via phone (417) 820-2705.

Contact Information

Primary practice address
107 W Eldon St Saint James MO 65559
Phone: (573) 265-1818
Fax: (573) 265-1810
Website:
Map and Directions
Authorized official contact:
Name: Cavagnol, Robert
Phone: (417) 820-2705

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36072 Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2005030570 Missouri

Profile Details

NPI number 1134251929
LBN Legal business name Mercy Clinic Springfield Communities
DBA Doing business as Mercy Clinic Family Medicine-St. James
Authorized official Cavagnol, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 4th, 2018 - about 7 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 1134251929 NPPES
Missouri MEDICAID 596035105

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