| Mercy Clinic Family Medicine-republic | |
|
332 S Main Ave Republic MO 65738 | |
| (417) 732-5050 | |
| (417) 732-8061 |
| Full Name | Mercy Clinic Family Medicine-republic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 332 S Main Ave, Republic, Missouri |
| Authorized Official Name and Position | Stuart Stangeland (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 4178203873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Family Medicine-republic 645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 Ph: (417) 820-7133 | Mercy Clinic Family Medicine-republic 332 S Main Ave Republic MO 65738 Ph: (417) 732-5050 |
| NPI Number | 1962534727 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962534727 | NPI | - | NPPES |
| 596051300 | Medicaid | MO |
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