Nra-South City, Missouri, Llc in Saint Louis - End-stage Renal Disease (esrd) Treatment
Nra-South City, Missouri, Llc - NPI 1225079395
Nra-South City, Missouri, Llc is a End-stage Renal Disease (esrd) Treatment in Saint Louis, Missouri. Nra-South City, Missouri, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Nra-South City, Missouri, Llc is 1225079395. The last update date is 2023-10-17.
Nra-South City, Missouri, Llc's current location address is 11107 S Towne Sq, Saint Louis, Missouri. You can contact this provider via phone number 3148943400 and fax number 3148941384. The mailing address for Nra-South City, Missouri, Llc is 11107 S Towne Sq, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nra-South City, Missouri, Llc |
|---|---|
| Address | 11107 S Towne Sq, Saint Louis, Missouri |
| Phone Number | 3148943400 |
| Fax Number | 3148941384 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1225079395 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | 11107 S Towne Sq |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631237814 |
| Phone Number | 3148943400 |
| Fax Number | 3148941384 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26D1053597 | MO | CLIA CERTIFICATE OF WAIVE | |
| 506960806 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nra-South City, Missouri, Llc by the Centers for Medicare & Medicaid Services?
The Nra-South City, Missouri, Llc has been assigned the NPI (National Provider Identifier) 1225079395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Nra-South City, Missouri, Llc is physically located?
The Nra-South City, Missouri, Llc is physically situated at the following address: 11107 S Towne Sq, Saint Louis, MO, 631237814.
What is the Nra-South City, Missouri, Llc's specialty and taxonomy code?
The Nra-South City, Missouri, Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Nra-South City, Missouri, Llc receive its 1225079395 assignment from the Centers for Medicare & Medicaid Services?
The Nra-South City, Missouri, Llc was assigned its 1225079395 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the details related to Nra-South City, Missouri, Llc most recently updated or revised?
The information pertaining to Nra-South City, Missouri, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-17.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA