NPIMap

Organization Active NPI

Jefferson Memorial Hospital

  • Occupational Medicine Physician
  • Festus, MO
National Provider Identifier
1831274430
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
JEFFERSON MEMORIAL HOSPITAL
Practice address
1400 US Highway 61
Suite G - 50
Festus, MO 63028-4100
Phone
(636) 933-1670
Fax
(636) 933-1203
NPI assigned
Oct 25, 2006
Organization subpart
Yes
Parent organization
MERCY HOSPITAL JEFFERSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mr. Daniel Steven Eckenfels
Title
VP-Finance
Phone
(636) 933-1107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

1400 US Highway 61
Suite G - 50
Festus, MO 63028-4100

Mailing address

1400 US Highway 61
Suite G - 50
Festus, MO 63028-4100
Phone (636) 933-1670

Other names 1

  • The Occupational Medicine Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Mental HLTH C7 organizations share this tax ID, including this one
Part of
Jefferson Mental HLTH C

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1831274430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "address_2": "SUITE G - 50",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-933-1670",
            "fax_number": "636-933-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "address_2": "SUITE G - 50",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-933-1670",
            "fax_number": "636-933-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL JEFFERSON",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "ECKENFELS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "VP-FINANCE",
        "authorized_official_telephone_number": "636-933-1107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Occupational Medicine Center",
            "code": "5",
            "type": "Other 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 Sep 9, 2015; 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.