NPIMap

Organization Active NPI

Mercy Hospital Jefferson

  • Ambulance
  • Festus, MO
National Provider Identifier
1124355417
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
099121 Issued in MO
Legal business name
MERCY HOSPITAL JEFFERSON
Practice address
1400 Highway 61
Festus, MO 63028-4100
Phone
(636) 933-5730
Fax
(636) 933-2916
NPI assigned
Nov 9, 2009
Organization subpart
Yes
Parent organization
MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel S. Eckenfels
Title
Cfo
Phone
(636) 933-1107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 099121 MO Primary

Addresses

Primary practice location

1400 Highway 61
Festus, MO 63028-4100

Mailing address

PO Box 279
Festus, MO 63028-0279
Phone (636) 933-5730

Other names 1

  • Jefferson Memorial Hospital Association Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1124355417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630280279",
            "telephone_number": "636-933-5730",
            "fax_number": "636-933-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-933-5730",
            "fax_number": "636-933-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL JEFFERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGION",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "ECKENFELS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "636-933-1107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MO",
            "license": "099121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Memorial Hospital Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.