NPI 1053759704
Mercy Aco Provider Services LLC
Practice location
- Address
- 615 S New Ballas Rd, Saint Louis, MO 63141-8221
- Phone
- (314) 251-1376
- Mailing address
- 625 S New Ballas Rd Suite 7020, Saint Louis, MO 63141-8253
Authorised official
- Name
- Shannon Sock
- Title
- President Mercy Aco
- Phone
- (314) 251-6000
Registered specialties (5)
General Acute Care Hospital
Primary
Dermatology Physician
Cardiovascular Disease Physician
Clinical Cardiac Electrophysiology Physician
Infectious Disease Physician
Registry record
- NPI
- 1053759704
- Entity type
- Organization
- NPI issued
- 4 Jun 2013
- Record last updated
- 8 Jan 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.