MERCY CLINIC SPRINGFIELD COMMUNITIES
NPI 1720404791
Durable Medical Equipment & Medical Supplies in Ozark, MO

NPI Status: Active since March 13, 2014

Contact Information

3050 E RIVER BLUFF BLVD
OZARK, MO
ZIP 65721
Phone: (417) 820-5610
Fax: (417) 820-5589

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 26D0447403
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-17-2025

About MERCY CLINIC SPRINGFIELD COMMUNITIES

This page provides the complete NPI Profile along with additional information for Mercy Clinic Springfield Communities, a provider established in Ozark, Missouri operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1720404791 assigned on March 2014. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Stuart G. Stangeland (Senior Vice President/coo)

NPI
1720404791
Provider Name
MERCY CLINIC SPRINGFIELD COMMUNITIES
Entity Type
Organization
Location Address
3050 E RIVER BLUFF BLVD OZARK, MO 65721
Location Phone
(417) 820-5610
Location Fax
(417) 820-5589
Mailing Address
PO BOX 505164 SAINT LOUIS, MO 63150
Mailing Phone
(417) 829-4620
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2014
Last Update Date
03-13-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
MO
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STUART G. STANGELAND

Authorized Official Title
SENIOR VICE PRESIDENT/COO
Authorized Official Phone
(417) 820-6556

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0447403
Facility Type
Physician Office
Certificate Effective Date
November 18, 2023
Certificate Expiration Date
November 17, 2025
Laboratory Director
EMMA G. EVANS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Mercy Clinic Springfield Communities after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720404791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740808718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 0 + 8 + 7 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1720404791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417096058 KRAIG M. HOLTORF PA-C
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 829-5610
1528094695MR. JEFFREY S. DELVECCHIO P.A.
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1568501112 JESSICA L. DAVIS PA-C
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1215119359 MARGARET M. SIMPSON NP
Individual
Nurse Practitioner (Adult Health)3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1093957565 ROBERT BENJAMIN JONES M.D.
Individual
Orthopaedic Surgery3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1255599841DR. JEREMY D ONNEN MD
Individual
Orthopaedic Surgery3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1528461621 JUSTIN R ALLPHIN PA-C
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1033421300 RICHARD AUGUSTUS SEAGRAVE III MD
Individual
Orthopaedic Surgery3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1417381831MERCY HOSPITAL SPRINGFIELD
Organization
Pharmacy (Community/Retail Pharmacy)3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 885-3357
1821590142 CODY L GIEDD PA-C
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1750885901 ASHLEY M SHAW PA-C
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1457843740 HILLARY GALE ROBERTS PA-C
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1326386509 NATHAN A MIRACLE PA-C
Individual
Physician Assistant (Surgical)3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1609357383 WHITNEY MOSER NP
Individual
Nurse Practitioner (Family)3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1992727374MR. BRIAN R NEELY M.D.
Individual
Hospitalist3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1619532686 CAITLYN OXENREIDER NP
Individual
Nurse Practitioner (Family)3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1104050772DR. MEGAN JANE MANTHE M.D.
Individual
Orthopaedic Surgery3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1366077240 DANIEL ELLIS PA-C
Individual
Physician Assistant3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1952563215 LANDON DAVID HOUGH M.D.
Individual
Family Medicine (Sports Medicine)3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-5610
1205157641DR. ROYCE DAVID MOORE M.D.
Individual
Family Medicine (Sports Medicine)3050 E RIVER BLUFF BLVD
OZARK, MO 65721
(417) 820-7969

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720404791, enumerated in the NPI registry as an "organization" on March 13, 2014

The provider is located at 3050 E River Bluff Blvd Ozark, Mo 65721 and the phone number is (417) 820-5610

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 26D0447403 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 13, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.