MEDICARE: MCCLAY HEALTH AND REHAB LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	273Y00000X	Rehabilitation Hospital Unit
2	275N00000X	Medicare Defined Swing Bed Hospital Unit
3	332BN1400X	Nursing Facility Supplies (DME)
4	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1457864944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCLAY HEALTH AND REHAB LLC

Provider Business Mailing Address
First Line	:	3801 MCCLAY ROAD
Second Line	:
City	:	ST. PETERS
State	:	MO
Zip	:	63376
Country	:	US
Telephone Number	:	636-244-3323
Fax Number	:	636-317-1881

Provider Business Practice Location Address
First Line	:	3801 MCCLAY RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-7327
Country	:	US
Telephone Number	:	636-244-3323
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MARY J JACKSON
Credential	:
Telephone Number	:	636-284-7377

Provider Enumeration Date	:	11/07/2017
Last Update Date	:	08/05/2022

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