Organization
MERCY HOSPITALS EAST COMMUNITIES
Active
Other names
MERCY SKILLED NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A JOHNSTON (PRESIDENT)
(314) 251-6000
Entity
Organization
Contact information
Practice address
12120 CONWAY ROAD, SAINT LOUIS, MO 63141-8213
(314) 251-6600
Mailing address
12120 CONWAY ROAD, SAINT LOUIS, MO 63141-8213
(314) 251-6600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100567403
—
MO
01
—
7318
BLUE CROSS SKILLED NURSIN
MO
Enumeration date
08/18/2006
Last updated
12/08/2014
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