| Mercy Hospital Stoddard | |
|
2002 Kanell Blvd Poplar Bluff MO 63901-4045 | |
| (573) 727-9130 | |
| (573) 727-9128 |
| Full Name | Mercy Hospital Stoddard |
|---|---|
| Speciality | Clinic/Center |
| Location | 2002 Kanell Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Krista Berry (CFO) |
| Authorized Official Contact | 5733316028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Stoddard 1200 N One Mile Rd Dexter MO 63841-1000 Ph: (573) 614-1938 | Mercy Hospital Stoddard 2002 Kanell Blvd Poplar Bluff MO 63901-4045 Ph: (573) 727-9130 |
| NPI Number | 1780927871 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 01/13/2024 |
| Medicare PECOS PAC ID | 7315192515 |
|---|---|
| Medicare Enrollment ID | O20151211000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780927871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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