Organization
MERCY SUPPORT SERVICES
Active
Parent organization
MERCY HOSPITALS EAST COMMUNITIES
Other names
Mercy JFK Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITALS EAST COMMUNITIES
Authorized official
JEFFREY A. JOHNSTON (PRESIDENT)
(314) 251-6000
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-6382
(314) 251-4454
Mailing address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-6382
(314) 251-4454
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505812800
—
MO
Enumeration date
02/06/2007
Last updated
04/30/2012
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