Healthcare Provider Details

I. General information

NPI: 1689714743
Provider Name (Legal Business Name): MERCY HEALTH, SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11700 STUDT AVE
CREVE COEUR MO
63141-7480
US

IV. Provider business mailing address

14528 S OUTER 40 RD STE 300
CHESTERFIELD MO
63017-5743
US

V. Phone/Fax

Practice location:
  • Phone: 314-989-9199
  • Fax:
Mailing address:
  • Phone: 314-729-9909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DENISE SCOFFIC
Title or Position: CFO- TREASURER
Credential:
Phone: 314-251-1917