Organization
MERCY HOSPITAL JEFFERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN ECKENFELS (PRESIDENT)
(314) 525-1483
Entity
Organization
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
(636) 933-1819
Mailing address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
(636) 933-1819
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
160-47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010155703
—
MO
Enumeration date
11/02/2007
Last updated
04/09/2024
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