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DSH260065F MERCY HOSPITAL SPRINGFIELD (Terminated)
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Main Details
Name
MERCY HOSPITAL SPRINGFIELD
Subdivision Name
MERCY ONCOLOGY INFUSION CENTER / Mercy Clinic Women's Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260065F
Medicare Provider Number
260065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/30/2014
Participating Start Date
1/1/2015
Participating Approval Date
11/5/2014
Last Recertification Date
8/28/2018
Termination Date
Termination Reason
10/1/2019
Site closure
Contacts
Authorizing Official
Mercy Hospital Springfield
William J Roberts, Vice President Finance
(417) 820-7363
Primary Contact
Mercy
Mike Loftus, Director-Pharmacy Services
(417) 820-3487
Addresses
Street Address
2055 S FREMONT AVE
SUITE 1000 A
SPRINGFIELD, MO 65804-2206
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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