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Organization
MERCY HOSPITAL SOUTH
Active
Organization
MERCY HOSPITAL SOUTH
Active
Other names
St. Anthony's Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
(314) 251-1958
Entity
Organization
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
273-31
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010161008
—
MO
01
—
148
BLUE CROSS
—
Enumeration date
06/27/2006
Last updated
12/24/2018
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