| Mercy Clinic Springfield Communities | |
| 
					9138 O'banion St Birch Tree MO 65438  | |
| (573) 292-3213 | |
| (573) 292-4442 | 
| Full Name | Mercy Clinic Springfield Communities | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 9138 O'banion St, Birch Tree, Missouri | 
| Authorized Official Name and Position | Robert Cavagnol (CHIEF PHYSICIAN OFFICER) | 
| Authorized Official Contact | 4178202705 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mercy Clinic Springfield Communities 645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 Ph: (417) 820-7133  | Mercy Clinic Springfield Communities 9138 O'banion St Birch Tree MO 65438 Ph: (573) 292-3213  | 
| NPI Number | 1811065477 | 
|---|---|
| Provider Enumeration Date | 12/01/2006 | 
| Last Update Date | 05/14/2019 | 
| Medicare PECOS PAC ID | 7416865845 | 
|---|---|
| Medicare Enrollment ID | O20100219000232 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811065477 | NPI | - | NPPES | 
| 592365407 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | R7838 (Missouri) | Secondary | 
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary | 
Mercy St Francis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 99 And O'banion St, Birch Tree, MO 65438 Phone: 573-292-3214  |