| Mercy Clinic Internal Medicine & Pediactrics-lebanon | |
|
120 Hospital Dr Suite 300/350 Lebanon MO 65536-9238 | |
| (417) 820-6729 | |
| Not Available |
| Full Name | Mercy Clinic Internal Medicine & Pediactrics-lebanon |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 120 Hospital Dr, Lebanon, Missouri |
| Authorized Official Name and Position | Scott Reynolds (VICE PRESIDENT-FINANCE) |
| Authorized Official Contact | 4178202818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Internal Medicine & Pediactrics-lebanon 120 Hospital Dr Suite 300/350 Lebanon MO 65536-9238 Ph: (417) 820-6729 | Mercy Clinic Internal Medicine & Pediactrics-lebanon 120 Hospital Dr Suite 300/350 Lebanon MO 65536-9238 Ph: (417) 820-6729 |
| NPI Number | 1457798167 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457798167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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