Nra-St. Louis, Missouri, Llc in Saint Louis - End-stage Renal Disease (esrd) Treatment

Nra-St. Louis, Missouri, Llc - NPI 1548201874

Nra-St. Louis, Missouri, Llc is a End-stage Renal Disease (esrd) Treatment in Saint Louis, Missouri. Nra-St. Louis, Missouri, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Nra-St. Louis, Missouri, Llc is 1548201874. The last update date is 2023-10-17.

Nra-St. Louis, Missouri, Llc's current location address is 2635 Hampton Ave, Saint Louis, Missouri. You can contact this provider via phone number 3146461717 and fax number 3146460636. The mailing address for Nra-St. Louis, Missouri, Llc is 2635 Hampton Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Nra-St. Louis, Missouri, Llc
Address 2635 Hampton Ave, Saint Louis, Missouri
Phone Number 3146461717
Fax Number 3146460636
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1548201874
Provider Enumeration Date 2006-06-09
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 2635 Hampton Ave
City Saint Louis
State Missouri (MO)
Post Code 631392912
Phone Number 3146461717
Fax Number 3146460636

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
506954502 MO --
26D1053303 MO CLIA CERTIFICATE OF WAIVE

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FAQs about Nra-St. Louis, Missouri, Llc

What is the unique identifier code issued to Nra-St. Louis, Missouri, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Nra-St. Louis, Missouri, Llc has been assigned the NPI (National Provider Identifier) 1548201874. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Nra-St. Louis, Missouri, Llc is physically located?

The Nra-St. Louis, Missouri, Llc is physically situated at the following address: 2635 Hampton Ave, Saint Louis, MO, 631392912.

What is Nra-St. Louis, Missouri, Llc's area of expertise and its corresponding taxonomy classification?

The Nra-St. Louis, Missouri, Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1548201874 assigned to Nra-St. Louis, Missouri, Llc?

The Nra-St. Louis, Missouri, Llc was issued its 1548201874 on 2006-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Nra-St. Louis, Missouri, Llc most recently updated or revised?

The details related to Nra-St. Louis, Missouri, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-17.

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