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MERCY CLINIC-FAMILY MEDICINE-E. KEARNEY
NPI 1306042536
Durable Medical Equipment & Medical Supplies in Springfield, MO

Active since June 25, 2007CLIA 26D0678346 · Waiver
1640 E KEARNEY ST, SPRINGFIELD, MO 65803(417) 863-9190(417) 863-9073 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercy Clinic-family Medicine-e. Kearney NPPES

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

MERCY CLINIC-FAMILY MEDICINE-E. KEARNEY (NPI 1306042536) is a healthcare organization registered as a durable medical equipment & medical supplies in Springfield, Missouri and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Donn E. Sorensen, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1306042536
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY CLINIC-SPRINGFIELD COMMUNITIES
Location Address1640 E KEARNEY STSpringfield, MO 65803-4106
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 863-9190
Fax(417) 863-9073
Organization SubpartNo
Authorized OfficialDonn E. SorensenSenior Vice President · (417) 829-4264
Enumeration DateJune 25, 2007
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1306042536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1640 E KEARNEY ST, Springfield, MO 65803
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Other Names 1

Doing Business AsMercy Clinic-family Medicine-e. Kearney

Other Identifiers 1

Medicare NSC0472580028MO

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 26D0678346

Mercy Clinic E Kearney Family Medicine · Springfield, MO
Active · expires Aug 8, 2027
CLIA Number26D0678346
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorKunalpreet S. Gugnani
Laboratory Phone(417) 863-9190
Laboratory LocationMercy Clinic E Kearney Family Medicine1640 E Kearney, Springfield, MO 65803
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DANIELLE SHADRACH NP
Nurse Practitioner (Family)
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
KUNALPREET SINGH GUGNANI MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
DR. SAMUEL A. CROW II DO
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
JOE DEBRAH MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
DR. MARK R WARD MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
ICHHA SETHI MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190

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-Springfield Communities's NPI number?

The NPI number for Mercy Clinic-Springfield Communities is 1306042536. It was assigned to this organization in the NPPES registry on June 25, 2007. The provider is doing business as Mercy Clinic-Family Medicine-E. Kearney.

Where is Mercy Clinic-Springfield Communities located?

Mercy Clinic-Springfield Communities is located at 1640 E Kearney St, Springfield, MO 65803. The listed phone number is (417) 863-9190.

What is Mercy Clinic-Springfield Communities's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mercy Clinic-Springfield Communities hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0678346) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mercy Clinic-Springfield Communities was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.