Affton Medical Clinic

LBN: Affton Medical Clinic
Affton Medical Clinic is an health care organization with primary practice located at 59 Grasso Plz , Saint Louis MO 63123-3107. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Affton Medical Clinic can be contacted via phone (314) 638-9309, or through Casino, Rubilinda Gimena via phone (314) 638-9309.

Contact Information

Primary practice address
59 Grasso Plz Saint Louis MO 63123-3107
Phone: (314) 638-9309
Fax: (314) 638-9333
Website:
Map and Directions
Authorized official contact:
Name: Casino, Rubilinda Gimena Doctor of Medicine (MD)
Phone: (314) 638-9309

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X R5P40 Missouri

Profile Details

NPI number 1114048154
LBN Legal business name Affton Medical Clinic
DBA Doing business as
Authorized official Casino, Rubilinda Gimena Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jun 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114048154 NPPES
Missouri MEDICAID 205357908

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