Provider Demographics
NPI:1043357015
Name:MERCY ST. FRANCIS HOSPITAL
Entity Type:Organization
Organization Name:MERCY ST. FRANCIS HOSPITAL
Other - Org Name:MERCY ST. FRANCIS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOUSEDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-820-8439
Mailing Address - Street 1:100 W US HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:MO
Mailing Address - Zip Code:65548-8542
Mailing Address - Country:US
Mailing Address - Phone:417-934-7000
Mailing Address - Fax:417-934-7197
Practice Address - Street 1:100 W US HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:MO
Practice Address - Zip Code:65548
Practice Address - Country:US
Practice Address - Phone:417-934-7000
Practice Address - Fax:417-934-7197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO447-8275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO010491603Medicaid
MO260018OtherPREMIER INPATIENT
AK83310OtherARKANSAS BCBS-INPATIENT
MO50046OtherPREMIER-PHYSICIAN
AK8P159OtherARKANSAS BCBS-PHYSICIAN
MO111065OtherHEALTH LINK
MO540491602Medicaid
MOCP8371Medicare ID - Type UnspecifiedRAILROAD
AK8P159OtherARKANSAS BCBS-PHYSICIAN
MO111065OtherHEALTH LINK