NPIMap

Organization Active NPI

Mercy Hospital South

  • Non-Pharmacy Dispensing Site
  • Fenton, MO
National Provider Identifier
1679604797
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MERCY HOSPITAL SOUTH
Practice address
714 Gravois Rd
Fenton, MO 63026-7727
Phone
(636) 326-6100
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

714 Gravois Rd
Fenton, MO 63026-7727

Mailing address

714 Gravois Rd
Fenton, MO 63026-7727

Other names 1

  • St. Anthony's Urgent Care at Fenton Other name

National Provider Directory

National Provider Directory
Tax ID family
Unity Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

714 Gravois Rd
Fenton, MO 63026
Phone (636) 326-6100

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1679604797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267727",
            "telephone_number": "636-326-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "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": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Anthony's Urgent Care at Fenton",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Anthony's Urgent Care at Fenton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • 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.