# MERCY SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HOSPITALS EAST COMMUNITIES
- **Other names:** St. John's Mercy Support Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417999723
- **Legal business name:** MERCY HOSPITALS EAST COMMUNITIES
- **Authorized official:** JEFFREY A. JOHNSTON (PRESIDENT, MERCY HOSPITAL ST. LOUIS)
- **Authorized official phone:** (314) 251-1932

## Contact information

- **Practice address:** 615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
- **Practice address phone:** (314) 251-6000
- **Mailing address:** 615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
- **Mailing address phone:** (314) 251-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 05/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 505706101 | — | MO |