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MERCY CLINIC EAST COMMUNITIES NPI 1720635329


NPI Information

NPI: 1720635329
Provider Name: MERCY CLINIC EAST COMMUNITIES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D0439734

Address:
10004 KENNERLY RD STE 395B
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 849-3500
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MERCY CLINIC EAST COMMUNITIES is a family medicine in Saint Louis, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCY CLINIC EAST COMMUNITIES NPI is 1720635329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10004 KENNERLY RD STE 395B
SAINT LOUIS, MO
ZIP 63128-190
Phone: (314) 849-3500
Fax: (314) 543-5951

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

The CLIA number assigned to this NPI record is 26D0439734 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/20/2019 and was last updated on 8/20/2019.


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
1207Q00000XFamily 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: 11/14/2023

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