Organization
MERCY SUPPORT SERVICES
Active
Parent organization
MERCY HOSPITALS EAST COMMUNITIES
Other names
St. John's Mercy Support Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITALS EAST COMMUNITIES
Authorized official
JEFFREY A. JOHNSTON (PRESIDENT, MERCY HOSPITAL ST. LOUIS)
(314) 251-1932
Entity
Organization
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505706101
—
MO
Enumeration date
06/12/2006
Last updated
05/08/2014
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