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MERCY HOSPITAL SOUTH NPI 1104974518


NPI Information

NPI: 1104974518
Provider Name: MERCY HOSPITAL SOUTH
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 26D0666026

Address:
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-4859
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MERCY HOSPITAL SOUTH is a nurse practitioner in Saint Louis, MO. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MERCY HOSPITAL SOUTH NPI is 1104974518. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128-106
Phone: (314) 525-4859

The provider's authorized official is Cheryl Matejka .
The authorized official title is Cfo East Communities & Sfo and has the following contact phone number (314) 251-1958.

The CLIA number assigned to this NPI record is 26D0666026 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 12/24/2018.


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
1363L00000XNurse Practitioner150546MISSOURIYes

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: 11/14/2023

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