Organization
MERCY HOSPITALS EAST COMMUNITIES
Active
Other names
Mercy Hospital Washington
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THORN (EXECUTIVE DIRECTOR FINANCE)
(636) 528-3329
Entity
Organization
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8000
Mailing address
PO BOX 18057B, SAINT LOUIS, MO 63150-8057
(636) 239-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010636900
—
MO
01
—
0486418
AETNA HMO
MO
01
—
138137
HEALTHLINK PROVIDER NUMBE
MO
01
—
155
BLUE CHOICE
MO
01
—
4625
GHP
MO
01
—
5040311
UHC
MO
05
—
5057469
—
MO
05
—
590636908
—
MO
01
—
6350990
AETNA PPO
MO
05
—
8783X8783
—
MO
Enumeration date
07/04/2006
Last updated
08/13/2020
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