Mercy Jfk Clinic

LBN: Mercy Support Services
Mercy Jfk Clinic is an health care organization with primary practice located at 621 S New Ballas Rd , Saint Louis MO 63141-8232. 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 Support Services can be contacted via phone (314) 251-6382, or through Johnston, Jeffrey A. via phone (314) 251-6000.

Contact Information

Primary practice address
621 S New Ballas Rd Saint Louis MO 63141-8232
Phone: (314) 251-6382
Fax: (314) 251-4454
Website:
Map and Directions
Authorized official contact:
Name: Johnston, Jeffrey A.
Phone: (314) 251-6000

Health care specialties

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

Profile Details

NPI number 1265572812
LBN Legal business name Mercy Support Services
DBA Doing business as Mercy Jfk Clinic
Authorized official Johnston, Jeffrey A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2007
Last updated Apr 30th, 2012 - about 14 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 1265572812 NPPES
Missouri MEDICAID 505812800

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