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Organization

ST. JOHN'S MERCY SUPPORT SERVICES

Active
Parent organization
MERCY HOSPITALS EAST COMMUNITIES
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY HOSPITALS EAST COMMUNITIES
Authorized official
MICHAEL M. MCCURRY (PRESIDENT)
(314) 628-3423
Entity
Organization

Contact information

Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8000
(636) 239-8890
Mailing address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8000
(636) 239-8890

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2084N0400X
Neurology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
507219806
MO
Enumeration date
04/09/2007
Last updated
05/08/2014
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