Organization
MERCY CLINIC CHILDREN'S CRITICAL CARE, LLC
Active
Organization
MERCY CLINIC CHILDREN'S CRITICAL CARE, LLC
Active
Parent organization
MERCY HOSPITALS EAST COMMUNITIES
Other names
St. John's Mercy Pediatric Critical Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITALS EAST COMMUNITIES
Authorized official
MR. JEFFREY A. JOHNSTON (PRESIDENT, MERCY HOSPITAL ST. LOUIS)
(314) 251-1932
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 6009-B, SAINT LOUIS, MO 63141-8232
(314) 251-6598
(314) 251-7990
Mailing address
621 S NEW BALLAS RD, SUITE 6009-B, SAINT LOUIS, MO 63141-8232
(314) 251-6598
(314) 251-7990
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
05/08/2014
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