NPIMap

Organization Active NPI

Mercy Hospital Jefferson

  • General Acute Care Hospital
  • Festus, MO
National Provider Identifier
1508859661
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
160-47 Issued in MO
Legal business name
MERCY HOSPITAL JEFFERSON
Practice address
1400 Highway 61
Festus, MO 63028-4100
Phone
(636) 933-1000
Fax
(636) 933-1819
NPI assigned
Aug 24, 2005
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Mr. Dan Eckenfels
Title
President
Phone
(636) 933-1107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 160-47 MO Primary

Addresses

Primary practice location

1400 Highway 61
Festus, MO 63028-4100

Mailing address

1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-1000

Other identifiers 1

IdentifierTypeStateIssuer
010155703MedicaidMO

Other names 1

  • Jefferson Memorial Hospital Association Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050518000926 MO Part B Supplier - Clinic/Group Practice 1254248271 Receives reassigned benefits from 115 practitioners
Practice locations: Farmington, MO; Festus, MO
O20071205000418 MO Part A Provider - Hospital 1254248271 Practice locations: Farmington, MO; Festus, MO; Imperial, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508859661. Details of each certification follow.

Hospital certification: CCN 260023

Legal name
MERCY HOSPITAL JEFFERSON
Doing business as
MERCY HOSPITAL JEFFERSON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 15, 2015
Beds
240
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1400 US Highway 61
Festus, MO 63028-4100
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital JeffersonCCN 260023 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1400 US Highway 61
Ste 210
Crystal Cty, MO 63028
Phone (636) 933-8050

1250 Main St
Imperial, MO 63052
Phone (636) 741-3150

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel S Eckenfels Individual Corporate OfficerPresident Jul 1, 2024
W-2 Managing EmployeePresident Jul 1, 2020
John M Mohart Individual Corporate DirectorBoard Member Jan 9, 2026
Dominic M Meldi Individual Corporate DirectorBoard Member Jan 9, 2026
Scott Martinez Individual Corporate DirectorExecutive Director Finance May 1, 2025
W-2 Managing EmployeeExecutive Director Finance May 1, 2025
Denise Scoffic Individual Corporate OfficerSVP Jan 1, 2026
Stacie Farnam Individual W-2 Managing EmployeeDirector Jul 8, 2022
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Feb 1, 2013 100%
Jennifer Brown Individual Corporate OfficerSecretary Jan 1, 2026
Mercy Health East Communities Organization, Saint Louis, MO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2013 100%
Patricia Gelbach Individual Corporate DirectorBoard Member Jan 9, 2026
David G Argueta Individual Corporate DirectorBoard Member Jan 9, 2026

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 116

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 116

Practitioners & affiliated clinicians

Practitioners 213

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 213

Affiliated clinicians 570

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 570

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1508859661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-933-1000",
            "fax_number": "636-933-1819"
        },
        {
            "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": "636-933-1000",
            "fax_number": "636-933-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL JEFFERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ECKENFELS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-933-1107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "160-47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010155703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Memorial Hospital Association",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jefferson Memorial Hospital Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.