MERCY SOUTH ASC LLC NPI 1255070116

NPI Information

  • NPI: 1255070116
  • Provider Name: MERCY SOUTH ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MERCY OUTPATIENT SURGERY CENTER - WEST BEND
  • CLIA Number: 26D2266036
  • Address: 12345 W BEND DR STE 201
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 543-6946

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NPI Details

MERCY SOUTH ASC LLC is an ambulatory surgical clinic center in Saint Louis, MO. MERCY SOUTH ASC LLC NPI is 1255070116. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Outpatient Surgery Center - West Bend.

The provider's business location address is:

12345 W BEND DR STE 201
SAINT LOUIS, MO
ZIP 63128-254
Phone: (314) 543-6946

The provider's authorized official is Daniel S Eckenfels .
The authorized official title is Vice President - Finance and has the following contact phone number (314) 525-1483.

The CLIA number assigned to this NPI record is 26D2266036 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)

The enumeration date for this NPI number is 5/31/2022 and was last updated on 8/25/2022.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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