Organization
MERCY CLINIC EAST COMMUNITIES
Active
Parent organization
MERCY HEALTH EAST COMMUNITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH EAST COMMUNITIES
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization
Contact information
Practice address
125 N OLD HIGHWAY 66, BOURBON, MO 65441-6298
(573) 679-2006
Mailing address
125 N OLD HIGHWAY 66, BOURBON, MO 65441-6298
(573) 679-2006
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596407106
—
MO
Enumeration date
06/29/2012
Last updated
04/28/2025
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