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Organization
MERCY CLINIC POST ACUTE SERVICES, LLC
Active
Organization
MERCY CLINIC POST ACUTE SERVICES, LLC
Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
JOHN W. HUBERT M.D. (PRESIDENT)
(314) 251-1560
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 1015-B, SAINT LOUIS, MO 63141-8232
(314) 251-4652
(314) 251-5715
Mailing address
621 S NEW BALLAS RD, SUITE 1015-B, SAINT LOUIS, MO 63141-8232
(314) 251-4652
(314) 251-5715
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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