Midwest Breast Care Center

LBN: Jsm Enterprises, Llc
Midwest Breast Care Center is an health care organization with primary practice located at 450 N New Ballas Rd Ste. 250, Saint Louis MO 63141-6835. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Jsm Enterprises, Llc can be contacted via phone (314) 567-4449, or through Modica, Sharon via phone (314) 567-5445.

Contact Information

Primary practice address
450 N New Ballas Rd Ste. 250 Saint Louis MO 63141-6835
Phone: (314) 567-4449
Fax: (314) 567-0762
Website:
Map and Directions
Authorized official contact:
Name: Modica, Sharon
Phone: (314) 567-5445

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1962460428
LBN Legal business name Jsm Enterprises, Llc
DBA Doing business as Midwest Breast Care Center
Authorized official Modica, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1962460428 NPPES
Other 189278 GROUP HEALTH PLAN
Other 8351165 GROUP HEALTH PLAN
Other 193989 GROUP HEALTH PLAN
Other 0635411 OR 0668136 GROUP HEALTH PLAN
Other 10439 GROUP HEALTH PLAN
Other A-33594 GROUP HEALTH PLAN
Other 237811 GROUP HEALTH PLAN
Other 113199 GROUP HEALTH PLAN
Other 44935 GROUP HEALTH PLAN
Other 852262 GROUP HEALTH PLAN

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