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Organization

MERCY CLINIC CHILDREN'S HOSPITALISTS - ST. LOUIS, LLC

Active
Parent organization
MERCY HOSPITALS EAST COMMUNITIES
Other names
St. John's Mercy Medical Center-St. John's Pediatric Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY HOSPITALS EAST COMMUNITIES
Authorized official
MR. JEFFREY A. JOHNSTON (PRESIDENT, MERCY HOSPITAL ST. LOUIS)
(314) 251-1932
Entity
Organization

Contact information

Practice address
621 S NEW BALLAS RD, SUITE 6006-B, SAINT LOUIS, MO 63141-8232
(314) 251-6299
(314) 251-4450
Mailing address
621 S NEW BALLAS RD, SUITE 6006-B, SAINT LOUIS, MO 63141-8232
(314) 251-6299
(314) 251-4450

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
505981902
MO
Enumeration date
10/05/2006
Last updated
05/06/2014
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