Mercy Clinic South Physicians

LBN: St. Anthony'S Physician Organization
Mercy Clinic South Physicians is an health care organization with primary practice located at 12700 Southfork Rd Ste 200 , Saint Louis MO 63128-3201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. St. Anthony'S Physician Organization can be contacted via phone (314) 543-5245, or through Matejka, Cheryl via phone (314) 251-1958.

Contact Information

Primary practice address
12700 Southfork Rd Ste 200 Saint Louis MO 63128-3201
Phone: (314) 543-5245
Fax: (314) 543-5246
Website:
Map and Directions
Authorized official contact:
Name: Matejka, Cheryl
Phone: (314) 251-1958

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X

Profile Details

NPI number 1659793305
LBN Legal business name St. Anthony'S Physician Organization
DBA Doing business as Mercy Clinic South Physicians
Authorized official Matejka, Cheryl
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 4th, 2019 - about 5 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 1659793305 NPPES
Missouri Other 000015644 MEDICARE PTAN

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