JEFFERSON REGIONAL OUTPATIENT FACILITIES, LLC (NPI# 1841515806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841515806 |
| Entity Type | Organization |
| Organization Name | JEFFERSON REGIONAL OUTPATIENT FACILITIES, LLC |
| Other Organization Name | MERCY URGENT CARE |
| Practice Address |
660a S Truman Blvd Festus MO 63028-2235 |
| Practice Telephone | 6369331669 |
| Practice Fax Number | 6369331203 |
| Mailing Telephone | 6369331669 |
| Mailing Fax Number | 6369331203 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MR. JEFFREY JOHNSTON (PRESIDENT) |
| Authorized Official Telephone | 3142511952 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH EAST COMMUNITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Urgent Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 Main St, Imperial, MO 630522323 | 6364644900 |
| Street Address |
660A S TRUMAN BLVD |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866975 | Pamela S. Dubois | Nurse Practitioner | 660a S Truman Blvd, Festus, MO 63028-2235 | 2006-01-23 |
| 1366903023 | Timothy T Walker | Nurse Practitioner | 660a S Truman Blvd, Festus, MO 63028-2235 | 2019-03-26 |
| 1972014363 | Lee Pitcher | Nurse Practitioner | 660a S Truman Blvd, Festus, MO 63028-2235 | 2017-10-12 |
| 1285026146 | Cathy Chambliss | Nurse Practitioner | 660a S Truman Blvd, Festus, MO 63028-2235 | 2015-03-02 |
| 1891194650 | Kristen Leigh Scaggs | Nurse Practitioner | 660a S Truman Blvd, Festus, MO 63028-2235 | 2014-08-18 |
| 1366850554 | Laura Marchi | Nurse Practitioner | 660a S Truman Blvd, Festus, MO 63028-2235 | 2014-07-31 |
| 1477799369 | Erica Lyn Cohoon | Nurse Practitioner | 660a S Truman Blvd, Festus, MO 63028-2235 | 2008-12-23 |
| 1588723704 | Donn Robert Richards | Emergency Medicine | 660a S Truman Blvd, Festus, MO 63028-2235 | 2006-12-06 |
| 1578501011 | Kurt Morse Jaeger | Emergency Medical Technician, Basic | 660a S Truman Blvd, Festus, MO 63028-2235 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368019 | Total Access Urgent Care, PC | Clinic/Center | 408 Brothers Dr, Festus, MO 63028-2139 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1639782121 | Veterans Advantage Urgent Care,inc | Clinic/Center | 1901 Washington Ave, Saint Louis, MO 63103-1623 | 2020-08-25 |
| 1356968432 | Total Access Urgent Care, PC | Clinic/Center | 1001 Southern Ridge Ln, Lake Saint Louis, MO 63367-4000 | 2020-07-06 |
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1043855802 | Total Access Urgent Care, PC | Clinic/Center | 915 N Kirkwood Rd, Kirkwood, MO 63122-2665 | 2019-11-15 |
| 1073171260 | Total Access Urgent Care, PC | Clinic/Center | 9538 Gravois Rd, Affton, MO 63123-4558 | 2019-06-03 |
| 1699330324 | Urgent Care of Missouri | Clinic/Center | 1721 La Questa Dr Ste 5, Neosho, MO 64850-9000 | 2019-05-08 |
| 1760945059 | Total Access Urgent Care, PC | Clinic/Center | 600 Mid Rivers Mall Dr, Saint Peters, MO 63376-2460 | 2019-04-12 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| 1821553918 | Total Access Urgent Care, PC | Clinic/Center | 2501 Clarkson Rd, Chesterfield, MO 63017-7398 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.