# ST. JOHN'S MERCY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154455095
- **Authorized official:** BECKY M DOSS RD LD (CLINICAL DIETITIAN)
- **Authorized official phone:** (314) 252-8885

## Contact information

- **Practice address:** 12680 OLIVE BLVD STE 10, SAINT LOUIS, MO 63141-6322
- **Practice address phone:** (413) 251-8885
- **Practice address fax:** (314) 251-8881
- **Mailing address:** 12680 OLIVE BOULEVARD, SUITE 10, ST. LOUIS, MO 63141
- **Mailing address phone:** (413) 251-8885
- **Mailing address fax:** (314) 251-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 2001019223 | MO | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020