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Contact Information

ST. JOHN'S MERCY SUPPORT SERVICES
300 WINDING WOODS DR
SUITE 112
O'FALLON, MO63366-4771
 Phone: 636-379-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ST. JOHN'S MERCY SUPPORT SERVICES

NPI Number 1568570620
LBN Legal business name ST. JOHN'S MERCY SUPPORT SERVICES
Authorized official PAUL HINTZE - (CMO/VICE PRESIDENT, MEDICAL AFFAIRS)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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