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MERCY SURGERY CENTER-LEBANON AT ROLLA
NPI 1043562358
Clinic/Center - Ambulatory Surgical in Rolla, MO

Active since October 10, 2012CLIA 26D1101251 · Waiver
1605 MARTIN SPRINGS DR, ROLLA, MO 65401(417) 820-2818 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercy Surgery Center-lebanon At Rolla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY SURGERY CENTER-LEBANON AT ROLLA (NPI 1043562358) is a healthcare organization registered as an ambulatory surgical in Rolla, Missouri and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Scott Reynolds, Vp-finance, as its authorized official.

NPPES Registry Identity

NPI1043562358
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMERCY HOSPITAL LEBANON
Location Address1605 MARTIN SPRINGS DRRolla, MO 65401-2931
Mailing Address1605 Martin Springs DrRolla, MO 65401-2931 · (417) 820-2818
Phone(417) 820-2818
Organization SubpartNo
Authorized OfficialScott ReynoldsVp-finance · (417) 820-2818
Enumeration DateOctober 10, 2012
Last NPPES UpdateMay 10, 2013
✔ NPI 1043562358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1605 MARTIN SPRINGS DR, Rolla, MO 65401
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Other Names 1

Doing Business AsMercy Surgery Center-lebanon At Rolla

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1101251

Mercy Hospital Lebanon Surgery Center Rolla · Rolla, MO
Active · expires Jun 22, 2027
CLIA Number26D1101251
Laboratory TypeOsc
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorRafael Bonilla Vasquez
Laboratory Phone(417) 533-6010
Laboratory LocationMercy Hospital Lebanon Surgery Center Rolla1605 Martin Springs Dr, Ste 120, Rolla, MO 65401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY CLINIC SPRINGFIELD COMMUNITIES
Durable Medical Equipment & Medical Supplies
1605 MARTIN SPRINGS DR, SUITE 240A
ROLLA, MO 65401
Phelps County (573) 458-6310
ST. JOHN'S PHYSICIANS & CLINICS, INC.
Durable Medical Equipment & Medical Supplies
1605 MARTIN SPRINGS DR, SUITE 210
ROLLA, MO 65401
Phelps County (573) 458-6326
MS. Y'VONDA DARLENE HOLMES APRN, FNP, CNP
Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR
ROLLA, MO 65401
Phelps County (573) 458-6326
MS. SARA E TRUSLER PHARM.D
Pharmacist
1605 MARTIN SPRINGS DR, SUITE 220
ROLLA, MO 65401
Phelps County (573) 458-6433
DR. KATIE ELIZABETH HERN M.D.
Family Medicine
1605 MARTIN SPRINGS DR, STE 230
ROLLA, MO 65401
Phelps County (573) 458-6350
DR. OMOFOLARIN BABATUNJI FASUYI M.D, M.P.H
Family Medicine
1605 MARTIN SPRINGS DR, SUITE 210
ROLLA, MO 65401
Phelps County (573) 458-6326
WILLIAM S ANAST MD
Anesthesiology
1605 MARTIN SPRINGS DR
ROLLA, MO 65401
Phelps County (417) 458-6637
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Durable Medical Equipment & Medical Supplies
1605 MARTIN SPRINGS DR, SUITE 230
ROLLA, MO 65401
Phelps County (573) 458-6350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Hospital Lebanon's NPI number?

The NPI number for Mercy Hospital Lebanon is 1043562358. It was assigned to this organization in the NPPES registry on October 10, 2012. The provider is doing business as Mercy Surgery Center-Lebanon At Rolla.

Where is Mercy Hospital Lebanon located?

Mercy Hospital Lebanon is located at 1605 Martin Springs Dr, Rolla, MO 65401. The listed phone number is (417) 820-2818.

What is Mercy Hospital Lebanon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mercy Hospital Lebanon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1101251) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Hospital Lebanon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Mercy Hospital Lebanon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercy Hospital Lebanon was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.