# ST. MARY'S MEDICAL CENTER

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

## Provider details

- **NPI number:** 1982088902
- **Authorized official:** MELODY JOHNSON-GARRETT (RESIDENT COORDINTOR)
- **Authorized official phone:** (816) 655-5426

## Contact information

- **Practice address:** 201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
- **Practice address phone:** (816) 655-5426
- **Practice address fax:** (816) 655-5408
- **Mailing address:** 201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
- **Mailing address phone:** (816) 655-5426
- **Mailing address fax:** (816) 655-5408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 2015020395 | MO | Yes |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 07/20/2015