Organization
MERCY HOSPITALS EAST COMMUNITIES
Active
Other names
MERCY JFK CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SCOFFIC (CFO)
(314) 251-1917
Entity
Organization
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6382
(314) 251-4454
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6382
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000524
MERCYCARE PLUS
MO
05
—
505289207
—
MO
01
—
CD5432
RR MEDICARE
MO
Enumeration date
02/08/2007
Last updated
04/30/2025
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