| St. John's Mercy Support Services | |
|
901 E 5th St Washington MO 63090-3127 | |
| (636) 239-8000 | |
| (636) 239-8890 |
| Full Name | St. John's Mercy Support Services |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 901 E 5th St, Washington, Missouri |
| Authorized Official Name and Position | Michael M. Mccurry (PRESIDENT) |
| Authorized Official Contact | 3146283423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John's Mercy Support Services 901 E 5th St Washington MO 63090-3127 Ph: (636) 239-8000 | St. John's Mercy Support Services 901 E 5th St Washington MO 63090-3127 Ph: (636) 239-8000 |
| NPI Number | 1912020397 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912020397 | NPI | - | NPPES |
| 507219806 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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