Organization · Type 2 NPI

Mercy Hospital South

Non-Pharmacy Dispensing Site · Fenton, MO

NPI number 1679604797 Active

Practice location

714 Gravois Rd
Fenton, MO 63026-7727

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

24 other providers at this address

NPI record

NPI: 1679604797
Entity type: Organization (Type 2)
Issued: Mar 8, 2007
Last updated: Dec 24, 2018
Status: Active

Other names

<unavail>
St. Anthony's Urgent Care at Fenton · other name
St. Anthony's Urgent Care at Fenton · other name

Authorized official

Ms. Cheryl Matejka
CFO East Communities & Sfo
(314) 251-1958

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679604797

Mercy Hospital South's National Provider Identifier is 1679604797, issued on Mar 8, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fenton, MO. The record was last updated on Dec 24, 2018.