| Mercy Clinic East Communities | |
|
16555 Manchester Rd Ste 110 Wildwood MO 63040-1220 | |
| (636) 405-3155 | |
| (636) 405-3162 |
| Full Name | Mercy Clinic East Communities |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 16555 Manchester Rd Ste 110, Wildwood, Missouri |
| Authorized Official Name and Position | Kerry Dunger (EXECUTIVE DIRECTOR - FINANCE) |
| Authorized Official Contact | 3143643707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic East Communities 16555 Manchester Rd Ste 110 Wildwood MO 63040-1220 Ph: (636) 405-3155 | Mercy Clinic East Communities 16555 Manchester Rd Ste 110 Wildwood MO 63040-1220 Ph: (636) 405-3155 |
| NPI Number | 1164857397 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164857397 | NPI | - | NPPES |
| 1164857397 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Idim Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 Larimer Trl, Wildwood, MO 63011 Phone: 636-273-5311 | |
Wildwood Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16759 Main Street, Suite 203, Wildwood, MO 63040 Phone: 636-458-4800 Fax: 636-594-7500 |