Organization
MERCY SOUTH ASC LLC
Active
Other names
Mercy Outpatient Surgery Center - West Bend
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S ECKENFELS (VICE PRESIDENT - FINANCE)
(314) 525-1483
Entity
Organization
Contact information
Practice address
12345 W BEND DR STE 201, SAINT LOUIS, MO 63128-2254
(314) 543-6946
Mailing address
12345 W BEND DR STE 201, SAINT LOUIS, MO 63128-2254
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
08/25/2022
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