Mercy Clinic Joplin Llc
LBN: Mercy Clinic Joplin Llc
Mercy Clinic Joplin Llc is an health care organization with primary practice located at 310 2Nd Ave Sw , Miami OK 74354-6743. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is the primary health care specialty.
Mercy Clinic Joplin Llc can be contacted via phone (417) 556-8600, or through Godfrey, Tracy A via phone (417) 556-8962.
Contact Information
Primary practice address
310 2Nd Ave Sw
Miami OK 74354-6743
Phone: (417) 556-8600
Fax: (417) 556-8602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1417216938 |
|---|---|
| LBN Legal business name | Mercy Clinic Joplin Llc |
| DBA Doing business as | |
| Authorized official | Godfrey, Tracy A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2012 |
| Last updated | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417216938 | NPPES |
| Oklahoma | Other | DT3607 | RAIL ROAD MEDICARE |
| Oklahoma | MEDICAID | 200274980N | RAIL ROAD MEDICARE |
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