Mercy Clinic Family Medicine-Republic

LBN: Mercy Clinic Springfield Communities
Mercy Clinic Family Medicine-Republic is an health care organization with primary practice located at 332 S Main Ave , Republic MO 65738. The organization recently has 4 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, 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) 732-5050, or through Stangeland, Stuart via phone (417) 820-3873.

Contact Information

Primary practice address
332 S Main Ave Republic MO 65738
Phone: (417) 732-5050
Fax: (417) 732-8061
Website:
Map and Directions
Authorized official contact:
Name: Stangeland, Stuart
Phone: (417) 820-3873

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 107047 Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2001029957 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 145564 Missouri

Profile Details

NPI number 1962534727
LBN Legal business name Mercy Clinic Springfield Communities
DBA Doing business as Mercy Clinic Family Medicine-Republic
Authorized official Stangeland, Stuart
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Jun 11th, 2018 - about 8 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 1962534727 NPPES
Missouri MEDICAID 596051300

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