Mercy Clinic Convenient Care

LBN: Mercy Clinic East Communities
Mercy Clinic Convenient Care is an health care organization with primary practice located at 16555 Manchester Rd Ste 110 , Wildwood MO 63040-1220. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Mercy Clinic East Communities can be contacted via phone (636) 405-3155, or through Hubert, John W. via phone (314) 251-6000.

Contact Information

Primary practice address
16555 Manchester Rd Ste 110 Wildwood MO 63040-1220
Fax: (636) 405-3162
Website:
Authorized official contact:
Name: Hubert, John W. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1164857397
LBN Legal business name Mercy Clinic East Communities
DBA Doing business as Mercy Clinic Convenient Care
Authorized official Hubert, John W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2013
Last updated Mar 17th, 2018 - about 8 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 1164857397 NPPES
Missouri MEDICAID 1164857397

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