Mercy Hospital South

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

273-31 Issued in MO

Legal business name

MERCY HOSPITAL SOUTH

Doing business as

St. Anthony's Medical Center

Practice address

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Phone

(314) 525-1000

NPI assigned

Jun 27, 2006

Last updated

Dec 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Matejka

Title

Cfo East Communities & Sfo

Phone

(314) 251-1958

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Anthony's Medical Center Doing business as

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1538196100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "MATEJKA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CFO EAST COMMUNITIES & SFO",
        "authorized_official_telephone_number": "314-251-1958",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MO",
            "license": "273-31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010161008",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "148",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Anthony's Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Anthony's Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Hospice, Inc
• Mercy Hospital South
• Mercy Hospital South (Mercy Home Health)
• Mercy Hospital South
• Mercy Hospital South (Mercy Hospice South - De Greef Hospice House)
• Mercy Hospital South
• Mercy Hospital South
• Mercy Hospital St. Louis Professional Surgical Services LLC
• Mercy Hospitals East Communities (Mercy Hospital St Louis)
• Mercy Hospitals East Communities (Mercy Hospital St Louis)

• Psychiatric Hospital Unit in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatric Hospital Unit in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.