Mercy Jfk Clinic

LBN: Mercy Hospitals East Communities
Mercy Jfk Clinic is an health care organization with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mercy Hospitals East Communities can be contacted via phone (314) 251-6382, or through Johnston, Jeffrey A via phone (314) 251-6000.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Fax: (314) 251-4454
Website:
Authorized official contact:
Name: Johnston, Jeffrey A

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Missouri

Profile Details

NPI number 1851431738
LBN Legal business name Mercy Hospitals East Communities
DBA Doing business as Mercy Jfk Clinic
Authorized official Johnston, Jeffrey A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Dec 9th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851431738 NPPES
Missouri MEDICAID 505289207
Missouri Other 000000000524
Missouri Other CD5432

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