MERCY CLINIC EAST COMMUNITIES
NPI 1235493776
Clinic/Center - Rural Health in Bourbon, MO

Active since June 29, 2012CLIA 26D1074778 · Waiver
125 N OLD HIGHWAY 66, BOURBON, MO 65441(573) 679-2006 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mercy Clinic East Communities NPPES

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

MERCY CLINIC EAST COMMUNITIES (NPI 1235493776) is a healthcare organization registered as a rural health in Bourbon, Missouri and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1235493776
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMERCY CLINIC EAST COMMUNITIES
Location Address125 N OLD HIGHWAY 66Bourbon, MO 65441-6298
Mailing Address125 N Old Highway 66Bourbon, MO 65441-6298 · (573) 679-2006
Organization SubpartYesParent: Mercy Health East Communities
Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707
Enumeration DateJune 29, 2012
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1235493776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
125 N OLD HIGHWAY 66, Bourbon, MO 65441

Other Identifiers 1

Medicaid596407106MO

Accepted 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 26D1074778

Mercy Clinic East Communities Bourbon Internal Medicine · Bourbon, MO
Active · expires Oct 4, 2027
CLIA Number26D1074778
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorFelipe Eljaiek
Laboratory Phone(573) 679-2006
Laboratory LocationMercy Clinic East Communities Bourbon Internal Medicine125 North Old Hwy 66, Bourbon, MO 65441
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinic East Communities's NPI number?

The NPI number for Mercy Clinic East Communities is 1235493776. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is Mercy Clinic East Communities located?

Mercy Clinic East Communities is located at 125 N Old Highway 66, Bourbon, MO 65441. The listed phone number is (573) 679-2006.

What is Mercy Clinic East Communities's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mercy Clinic East Communities hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1074778) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Clinic East Communities 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 4 other insurers list Mercy Clinic East Communities 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 Clinic East Communities was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.