Provider Demographics
NPI:1689714743
Name:MERCY HEALTH, SERVICES, LLC
Entity type:Organization
Organization Name:MERCY HEALTH, SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO- TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOFFIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-251-1917
Mailing Address - Street 1:14528 S OUTER 40 RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5743
Mailing Address - Country:US
Mailing Address - Phone:314-729-9909
Mailing Address - Fax:
Practice Address - Street 1:11700 STUDT AVE
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7480
Practice Address - Country:US
Practice Address - Phone:314-989-9199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health