Endoscopy Center Of St. Louis

LBN: Endoscopy Center Of St. Louis
Endoscopy Center Of St. Louis is an health care organization with primary practice located at 200 Brevco Plaza Suite 207, Lake Saint Louis MO 63367. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Endoscopy Center Of St. Louis can be contacted via phone (636) 561-5450, or through Petersen, James H. via phone (636) 561-5450.

Contact Information

Primary practice address
200 Brevco Plaza Suite 207 Lake Saint Louis MO 63367
Phone: (636) 561-5450
Fax: (636) 561-5451
Website:
Map and Directions
Authorized official contact:
Name: Petersen, James H. Doctor of Medicine (MD)
Phone: (636) 561-5450

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X 152-0 Missouri

Profile Details

NPI number 1023094836
LBN Legal business name Endoscopy Center Of St. Louis
DBA Doing business as
Authorized official Petersen, James H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 27th, 2007 - about 19 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 1023094836 NPPES
Missouri Other P00214935 RAIL ROAD MEDICARE
Missouri Other 195965 RAIL ROAD MEDICARE

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