St Louis Kidney Care Llc

LBN: St Louis Kidney Care Llc
St Louis Kidney Care Llc is an health care organization with primary practice located at 1265 Graham Rd Ste 1 , Florissant MO 63031-8018. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. St Louis Kidney Care Llc can be contacted via phone (314) 741-1600, or through Hill, James via phone (704) 651-0795.

Contact Information

Primary practice address
1265 Graham Rd Ste 1 Florissant MO 63031-8018
Fax: (314) 741-1677
Website:
Authorized official contact:
Name: Hill, James

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1780058727
LBN Legal business name St Louis Kidney Care Llc
DBA Doing business as
Authorized official Hill, James
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2015
Last updated Mar 22nd, 2024 - about 2 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 1780058727 NPPES
Illinois MEDICAID 455247262-04915-01
Illinois MEDICAID 500035811

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