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MERCY CLINIC CHILDREN'S CRITICAL CARE LLC NPI 1376612572


NPI Information

NPI: 1376612572
Provider Name: MERCY CLINIC CHILDREN'S CRITICAL CARE, LLC

Former Legal Business Name: ST. JOHN'S MERCY PEDIATRIC CRITICAL CARE

Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
621 S NEW BALLAS RD
SUITE 6009-B
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6598
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MERCY CLINIC CHILDREN'S CRITICAL CARE, LLC is a pediatric critical care medicine pediatrics in Saint Louis, MO. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. MERCY CLINIC CHILDREN'S CRITICAL CARE, LLC NPI is 1376612572. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is St. John's Mercy Pediatric Critical Care.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 6009-B
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6598
Fax: (314) 251-7990

The provider's authorized official is Jeffrey A. Johnston .
The authorized official title is President, Mercy Hospital St. Louis and has the following contact phone number (314) 251-1932.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineYes

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

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