Depaul Medical Group At Cross Keys
LBN: Ssm Depaul Medical Group, Inc.
Depaul Medical Group At Cross Keys is an health care organization with primary practice located at 14021 New Halls Ferry Rd , Florissant MO 63033-2708. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Ssm Depaul Medical Group, Inc. can be contacted via phone (314) 839-0910, or through Pullum, Laura Lynn via phone (636) 669-2434.
Contact Information
Primary practice address
14021 New Halls Ferry Rd
Florissant MO 63033-2708
Phone: (314) 839-0910
Fax: (314) 839-9053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1952312951 |
|---|---|
| LBN Legal business name | Ssm Depaul Medical Group, Inc. |
| DBA Doing business as | Depaul Medical Group At Cross Keys |
| Authorized official | Pullum, Laura Lynn |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 18th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952312951 | NPPES |
| Missouri | Other | 6438130003 | MEDICARE DME |
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