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General NPI Number Information
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NPI Number | 1457864944
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Entity Type | Organization
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Legal Business Name | MCCLAY HEALTH AND REHAB LLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 3801 MCCLAY RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-7327
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Country | US
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Telephone | 636-244-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 MCCLAY ROAD
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City | ST. PETERS
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State | MO
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Zip | 63376
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Country | US
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Telephone | 636-244-3323
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Fax | 636-317-1881
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Authorized Official
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Title or Position | CFO
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Name | MARY J JACKSON
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Credential |
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Telephone | 636-284-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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