MERCY EAST COMMUNITY NPI 1588939797

NPI Information

NPI: 1588939797
Provider Name: MERCY EAST COMMUNITY

Former Legal Business Name: MERCY MEDICAL GROUP

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
12360 MANCHESTER ROAD
SUITE 100
DES PERES, MO
ZIP 63131
Phone: (314) 966-8500
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MERCY EAST COMMUNITY is a primary care clinic center in Des Peres, MO. MERCY EAST COMMUNITY NPI is 1588939797. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mercy Medical Group.

The provider's business location address is:

12360 MANCHESTER ROAD
SUITE 100
DES PERES, MO
ZIP 63131-312
Phone: (314) 966-8500

The provider's authorized official is Gregory Finn .
The authorized official title is Pediatrician and has the following contact phone number (314) 966-8500.

The CLIA number assigned to this NPI record is 26D0437206 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 3/21/2012.

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	261QP2300X	Clinic/Center	Primary Care	2012006258	MISSOURI	Yes

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: 5/5/2024

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