Healthcare Provider Details

I. General information

NPI: 1336568864
Provider Name (Legal Business Name): MERCY CLINIC HYPERBARIC AND WOUND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2014
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 US HIGHWAY 61
FESTUS MO
63028-4137
US

IV. Provider business mailing address

PO BOX 502852
SAINT LOUIS MO
63150-2852
US

V. Phone/Fax

Practice location:
  • Phone: 636-933-1163
  • Fax: 636-933-5789
Mailing address:
  • Phone: 314-364-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KERRY DUNGER
Title or Position: EXECUTIVE DIRECTOR - FINANCE
Credential:
Phone: 314-364-3707