Mercy Clinic Pediatrics-Rolla
LBN: Mercy Clinic Springfield Communities
Mercy Clinic Pediatrics-Rolla is an health care organization with primary practice located at 1605 Martin Springs Dr Suite 250, Rolla MO 65401. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Mercy Clinic Springfield Communities can be contacted via phone (573) 458-6363, or through Cavagnol, Robert via phone (417) 820-2705.
Contact Information
Primary practice address
1605 Martin Springs Dr Suite 250
Rolla MO 65401
Phone: (573) 458-6363
Fax: (573) 458-6765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 108228 | Missouri |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Missouri | |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 146525 | Missouri |
Profile Details
| NPI number | 1922137645 |
|---|---|
| LBN Legal business name | Mercy Clinic Springfield Communities |
| DBA Doing business as | Mercy Clinic Pediatrics-Rolla |
| Authorized official | Cavagnol, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922137645 | NPPES |
| Missouri | MEDICAID | 597380708 |
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