MERCY CLINIC PEDIATRICS- LEBANON
NPI 1770612590
Clinic/Center - Rural Health in Lebanon, MO

Active since March 05, 2007
120 HOSPITAL DR STE 350, LEBANON, MO 65536(417) 533-6746(417) 533-6740 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2020, Oct 5, 2020, Dec 4, 2018 and 1 more (4 updates tracked since 2018).

About Mercy Clinic Pediatrics- Lebanon NPPES

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

MERCY CLINIC PEDIATRICS- LEBANON (NPI 1770612590) is a healthcare organization registered as a rural health in Lebanon, Missouri and active in the NPI registry since March 2007. The organization lists William Roberts, Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1770612590
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMERCY CLINIC SPRINGFIELD COMMUNITIES
Location Address120 HOSPITAL DR STE 350Lebanon, MO 65536-9253
Mailing Address1570 W Battlefield St Ste 110Springfield, MO 65807-4163 · (417) 820-7133 · Fax (417) 820-0586
Fax(417) 533-6740
Organization SubpartNo
Authorized OfficialWilliam RobertsVice President Finance · (417) 820-7363
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 14, 20204 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
NPI 1770612590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 123516 (MO)
120 HOSPITAL DR STE 350, Lebanon, MO 65536

Other Names 1

Doing Business AsMercy Clinic Pediatrics- Lebanon

Other Identifiers 1

Medicaid597785609MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pediatrics
120 HOSPITAL DR STE 350
LEBANON, MO 65536
Pediatrics
120 HOSPITAL DR STE 350
LEBANON, MO 65536

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 1770612590. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Mercy Clinic Pediatrics- Lebanon.

Where is Mercy Clinic Springfield Communities located?

Mercy Clinic Springfield Communities is located at 120 Hospital Dr Ste 350, Lebanon, MO 65536. The listed phone number is (417) 533-6746.

What is Mercy Clinic Springfield Communities's specialty?

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

What insurance does Mercy Clinic Springfield 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 Springfield 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 Springfield Communities was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.