Mercy Clinic Springfield Communities | |
1965 S Fremont Ave Ste 200 Springfield MO 65804-2283 | |
(417) 820-7233 | |
Not Available |
Full Name | Mercy Clinic Springfield Communities |
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Speciality | Internal Medicine |
Location | 1965 S Fremont Ave Ste 200, Springfield, Missouri |
Authorized Official Name and Position | Ted Alan Stutzman (COO) |
Authorized Official Contact | 4178209101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Clinic Springfield Communities Po Box 776084 Chicago IL 60677-6084 Ph: () - | Mercy Clinic Springfield Communities 1965 S Fremont Ave Ste 200 Springfield MO 65804-2283 Ph: (417) 820-7233 |
NPI Number | 1366152407 |
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Provider Enumeration Date | 11/30/2022 |
Last Update Date | 11/30/2022 |
Medicare PECOS PAC ID | 7416865845 |
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Medicare Enrollment ID | O20230214000267 |
Identifier | Type | State | Issuer |
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1366152407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |