| Mercy Hospital Stoddard | |
|
500 N Douglass St Malden MO 63863-1506 | |
| (573) 276-2221 | |
| Not Available |
| Full Name | Mercy Hospital Stoddard |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 N Douglass St, Malden, 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 500 N Douglass St Malden MO 63863-1506 Ph: (573) 276-2221 | Mercy Hospital Stoddard 500 N Douglass St Malden MO 63863-1506 Ph: (573) 276-2221 |
| NPI Number | 1316240096 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 7315192515 |
|---|---|
| Medicare Enrollment ID | O20130219000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316240096 | NPI | - | NPPES |
| 1316240096 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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