| Mercy Clinic Joplin Llc | |
|
310 2nd Ave Sw Miami OK 74354-6743 | |
| (417) 556-8600 | |
| (417) 556-8602 |
| Full Name | Mercy Clinic Joplin Llc |
|---|---|
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 310 2nd Ave Sw, Miami, Oklahoma |
| Authorized Official Name and Position | Tracy A Godfrey (PRESIDENT) |
| Authorized Official Contact | 4175568962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Joplin Llc 100 Mercy Way Joplin MO 64804-4524 Ph: (417) 556-8994 | Mercy Clinic Joplin Llc 310 2nd Ave Sw Miami OK 74354-6743 Ph: (417) 556-8600 |
| NPI Number | 1417216938 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 07/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417216938 | NPI | - | NPPES |
| DT3607 | Other | OK | RAIL ROAD MEDICARE |
| 200274980N | Medicaid | OK |
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