Organization
SJMDHS, LLC
Active
Other names
Mercy Continuing Care Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL VEILLON (BOARD MEMBER)
(713) 277-2330
Entity
Organization
Contact information
Practice address
13190 S OUTER 40, LEVEL I, CHESTERFIELD, MO 63017-5917
(314) 392-6380
(314) 392-6379
Mailing address
13190 S OUTER 40, LEVEL I, CHESTERFIELD, MO 63017-5917
(314) 392-6380
(314) 392-6379
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
498-0
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013805700
—
MO
01
—
1385744
AETNA PVN
MO
01
—
207853
BLUE CROSS BLUE SHIELD
MO
01
—
401054
HEALTHLINK
MO
01
—
7572911
AETNA PIN
MO
Enumeration date
04/28/2006
Last updated
08/09/2013
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