| Mercy Clinic Pediatrics- Lebanon | |
|
120 Hospital Dr Ste 350 Lebanon MO 65536-9253 | |
| (417) 533-6746 | |
| (417) 533-6740 |
| Full Name | Mercy Clinic Pediatrics- Lebanon |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Hospital Dr Ste 350, Lebanon, Missouri |
| Authorized Official Name and Position | William Roberts (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 4178207363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Pediatrics- Lebanon 1570 W Battlefield St Ste 110 Springfield MO 65807-4163 Ph: (417) 820-7133 | Mercy Clinic Pediatrics- Lebanon 120 Hospital Dr Ste 350 Lebanon MO 65536-9253 Ph: (417) 533-6746 |
| NPI Number | 1770612590 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/14/2020 |
| Medicare PECOS PAC ID | 7416865845 |
|---|---|
| Medicare Enrollment ID | O20090603000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770612590 | NPI | - | NPPES |
| 597785609 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 123516 (Missouri) | Secondary |
Cox Medical Associates Of Lebanon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-532-8700 Fax: 417-532-4315 | |
Mercy Clinic-agape Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555 | |
Philip W Caster Md And John P Caster Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 S Madison Ave, Lebanon, MO 65536 Phone: 417-532-9161 Fax: 417-532-8360 | |
Family Health Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Hospital Dr, Lebanon, MO 65536 Phone: 417-532-7850 Fax: 417-532-2451 | |
Cox Health Center Lebanon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 | |
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Hoover St, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-532-2067 | |
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-832-8275 |