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Organization
MERCY HOSPITAL JEFFERSON
Active
Organization
MERCY HOSPITAL JEFFERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN ECKENFELS (CHIEF FINANCIAL OFFICER)
(636) 933-1107
Entity
Organization
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
(636) 933-1136
Mailing address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
(636) 933-1136
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
160-48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010155703
—
MO
Enumeration date
08/03/2006
Last updated
08/07/2015
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