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MERCY CLINIC EAST COMMUNITIES NPI 1851335228


NPI Information

NPI: 1851335228
Provider Name: MERCY CLINIC EAST COMMUNITIES

Former Legal Business Name: MERCY MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 26D0902841

Address:
615 S NEW BALLAS RD
ADMINISTRATION BUILDING, 5TH FLOOR
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6000
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MERCY CLINIC EAST COMMUNITIES is an internal medicine in Saint Louis, MO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MERCY CLINIC EAST COMMUNITIES NPI is 1851335228. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mercy Medical Group.

The provider's business location address is:

615 S NEW BALLAS RD
ADMINISTRATION BUILDING, 5TH FLOOR
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-6000

The provider's authorized official is John W. Hubert .
The authorized official title is President and has the following contact phone number (314) 251-1700.

The CLIA number assigned to this NPI record is 26D0902841 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/16/2006 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
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000015280MEDICARE PINMISSOURI
2500228804MEDICAIDMISSOURI

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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