NPIMap

Organization Active NPI

Mercy Hospitals East Communities

  • Chiropractor
  • Clarkson Valley, MO
National Provider Identifier
1790720282
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MERCY HOSPITALS EAST COMMUNITIES
Practice address
15945 Clayton Rd
Suite 230
Clarkson Valley, MO 63011
Phone
(636) 256-5200
Fax
(636) 256-5223
NPI assigned
Jun 18, 2006
Organization subpart
Yes
Parent organization
MERCY HEALTH EAST COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Denise Scoffic
Title
Cfo
Phone
(314) 251-1917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

15945 Clayton Rd
Suite 230
Clarkson Valley, MO 63011

Mailing address

15945 Clayton Rd
Suite 230
Clarkson Valley, MO 63011
Phone (636) 256-5200

Other names 1

  • Mercy Integrative Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041004000044 MO Part B Supplier - Clinic/Group Practice 1658276811 Receives reassigned benefits from 9 practitioners
Practice locations: Ballwin, MO; St Louis, MO

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
St Johns Mercy Medical Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Rehabilitation Hospital St LouisChesterfield, MO, CCN 263029 Hospital 5% Or Greater Direct Ownership Interest (49.5%) Jul 25, 2007
Mercy Hospital LincolnTroy, MO, CCN 261319 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2015
Mercy Hospital LincolnTroy, MO, CCN 26Z319 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2015
Mercy Home HealthSaint Louis, MO, CCN 267565 Home health agency 5% Or Greater Direct Ownership Interest (100%) Apr 27, 2011
Mercy HospiceSaint Louis, MO, CCN 261510 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2008
Mercy Hospital Lincoln-Family Medicine and Psychiatry TroyTroy, MO, CCN 263479 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 2, 2015
Mercy Hospital Lincoln-Family MedicineTroy, MO, CCN 268687 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2015
Mercy Hospital Lincoln-Family Medicine WinfieldWinfield, MO, CCN 268701 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2015
Mercy Hospital Lincoln- Family MedicineTroy, MO, CCN 263457 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2015
Mercy Hospital Lincoln Family Medicine ElsberryElsberry, MO, CCN 268663 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 2, 2015

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1790720282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD",
            "address_2": "SUITE 230",
            "city": "CLARKSON VALLEY",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-256-5200",
            "fax_number": "636-256-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD",
            "address_2": "SUITE 230",
            "city": "CLARKSON VALLEY",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-256-5200",
            "fax_number": "636-256-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITALS EAST COMMUNITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH EAST COMMUNITIES",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SCOFFIC",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-251-1917"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.