MERCY CLINIC SPRINGFIELD COMMUNITIES – NPI #1811065477
Clinic/Center

MERCY CLINIC SPRINGFIELD COMMUNITIES is an AHC clinic located in BIRCH TREE, MO. NPPES has assigned the NPI number 1811065477 to MERCY CLINIC SPRINGFIELD COMMUNITIES on December 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was last updated on Oct 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCY CLINIC SPRINGFIELD COMMUNITIES below.

NPI Profile for
MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI Number
1811065477
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCY CLINIC SPRINGFIELD COMMUNITIES
Primary location
9138 O'BANION ST
BIRCH TREE, MO 65438
Phone: (573) 292-3213 Fax: (573) 292-4442
Mailing address
9138 OBANION ST
BIRCH TREE, MO 65438-8485
Phone: (417) 820-7133 Fax: (417) 820-0586
Organization Subpart
No
Authorized Official
WILLIAM ROBERTS
CFO
Phone: (417) 820-7363
Updated
Certification Date
Oct 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MERCY CLINIC SPRINGFIELD COMMUNITIES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO592365407
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)		 MO
207Q00000X
- Family Medicine		 MO R7838

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.