Organization
MERCY HOSPITAL JEFFERSON
Active
Other names
Mercy Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ECKENFELS (VICE PRESIDENT FINANCE)
(314) 525-1483
Entity
Organization
Contact information
Practice address
151 INDUSTRIAL DR, FESTUS, MO 63028-4134
(636) 933-1162
(636) 933-1579
Mailing address
151 INDUSTRIAL DR, FESTUS, MO 63028-4134
(636) 933-1162
(636) 933-1579
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
198-20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580155703
—
MO
01
—
6000091
UNITED HEALTHCARE
MO
01
—
83
BLUECROSS/BLUESHIELD OF M
MO
01
—
99513
GROUP HEALTH PLAN
MO
01
—
G2149017
HEALTHLINK
MO
Enumeration date
05/23/2005
Last updated
02/28/2021
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