Organization Name: | MERCY HOSPITAL LINCOLN |
NPI Number: | 1578969366 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY JOHNSTON (PRESIDENT-MERCY HOSP STL) |
Mailing Address: | 106 Broadway St ,suite 3c Elsberry |
State: | MO US |
Postal Code: | 633431345 |
Phone Number: | 5738989100 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2014 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |