| Mercy Hospital Carthage - Pediatrics | |
|
1615 Hazel Ave Carthage MO 64836-3020 | |
| (417) 237-0983 | |
| Not Available |
| Full Name | Mercy Hospital Carthage - Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1615 Hazel Ave, Carthage, Missouri |
| Authorized Official Name and Position | Sherry Lynn Clouse Day (VP FINANCE MERCY CAH) |
| Authorized Official Contact | 4178208439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Carthage - Pediatrics 1615 Hazel Ave Carthage MO 64836-3020 Ph: (417) 237-0983 | Mercy Hospital Carthage - Pediatrics 1615 Hazel Ave Carthage MO 64836-3020 Ph: (417) 237-0983 |
| NPI Number | 1285904342 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 8426225251 |
|---|---|
| Medicare Enrollment ID | O20121009000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285904342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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