Organization
MERCY HOSPITAL SOUTH
Active
Other names
St. Anthony's Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
(314) 251-1958
Entity
Organization
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
273-31
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010161008
—
MO
01
—
148
BLUE CROSS
—
Enumeration date
06/27/2006
Last updated
12/24/2018
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