Mercy Clinic Family Medicine-Mountain Grove

LBN: Mercy Clinic Springfield Communities
Mercy Clinic Family Medicine-Mountain Grove is an health care organization with primary practice located at 120 W 16Th St , Mountain Grove MO 65711. 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 / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Mercy Clinic Springfield Communities can be contacted via phone (417) 926-6111, or through Cavagnol, Robert via phone (417) 820-2705.

Contact Information

Primary practice address
120 W 16Th St Mountain Grove MO 65711
Phone: (417) 926-6111
Fax: (417) 926-6115
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 R9C21 Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 130675 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 119291 Missouri

Profile Details

NPI number 1457480188
LBN Legal business name Mercy Clinic Springfield Communities
DBA Doing business as Mercy Clinic Family Medicine-Mountain Grove
Authorized official Cavagnol, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Dec 4th, 2018 - about 6 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 1457480188 NPPES
Missouri MEDICAID 597932300

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