Organization
MERCY HOSPITAL SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TYLER STURGEON (CFO)
(314) 525-1930
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
207P00000X
Emergency Medicine Physician
106904
MO
282N00000X
General Acute Care Hospital
Primary
273-34
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010161008
—
MO
01
—
148
BLUE CROSS
—
05
—
543955603
—
MO
Enumeration date
07/18/2006
Last updated
04/11/2024
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