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Contact Information

MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE, LLC
621 S NEW BALLAS RD
SUITE 674-A
SAINT LOUIS, MO63141-8232
 Phone: 314-251-6831
 Fax: 314-251-5430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE, LLC

NPI Number 1518274489
LBN Legal business name MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE, LLC
Authorized official JOHN HUBERT - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/13/2010
Last updated 05/05/2014 - About 12 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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