Mercy Clinic Dermatology Llc
LBN: Mercy Clinic Dermatology Llc
Mercy Clinic Dermatology Llc is an health care organization with primary practice located at 621 S New Ballas Rd Suite 597A, Saint Louis MO 63141-8232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Mercy Clinic Dermatology Llc can be contacted via phone (314) 251-2095, or through Hubert, John W. via phone (314) 251-1560.
Contact Information
Primary practice address
621 S New Ballas Rd Suite 597A
Saint Louis MO 63141-8232
Phone: (314) 251-2095
Fax: (314) 251-2096
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Missouri |
Profile Details
NPI number | 1033470745 |
---|---|
LBN Legal business name | Mercy Clinic Dermatology Llc |
DBA Doing business as | |
Authorized official | Hubert, John W. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | May 30th, 2012 |
Last updated | Mar 4th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033470745 | NPPES |
Missouri | MEDICAID | 1033470745 | |
Missouri | Other | DT7966 |
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