MERCY HOSPITAL SOUTH NPI 1295717569

NPI Information

NPI: 1295717569
Provider Name: MERCY HOSPITAL SOUTH

Doing Business As: MERCY HOSPICE SOUTH - DE GREEF HOSPICE HOUSE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
10024 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-7390
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MERCY HOSPITAL SOUTH is a hospice care community based in Saint Louis, MO. MERCY HOSPITAL SOUTH NPI is 1295717569. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Hospice South - De Greef Hospice House.

The provider's business location address is:

10024 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128-106
Phone: (314) 525-7390

The provider's authorized official is Jonathan Tyler Sturgeon .
The authorized official title is Cfo and has the following contact phone number (314) 525-1930.

The CLIA number assigned to this NPI record is 26D0977981 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 4/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		109-5HO	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	825172208	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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