Wisam Hassan Ali Al Badr in Saint Louis - Critical Access
Wisam Hassan Ali Al Badr - NPI 1710177480
Wisam Hassan Ali Al Badr is a Critical Access in Saint Louis, Missouri. Wisam Hassan Ali Al Badr practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Wisam Hassan Ali Al Badr is 1710177480. The last update date is 2007-07-30.
Wisam Hassan Ali Al Badr's current location address is 9625 Chancelorsville Dr, Saint Louis, Missouri. You can contact this provider via phone number 3145778765 and fax number 3147710784. The mailing address for Wisam Hassan Ali Al Badr is 9625 Chancelorsville Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wisam Hassan Ali Al Badr |
|---|---|
| Address | 9625 Chancelorsville Dr, Saint Louis, Missouri |
| Phone Number | 3145778765 |
| Fax Number | 3147710784 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710177480 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 9625 Chancelorsville Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631263312 |
| Phone Number | 3145778765 |
| Fax Number | 3147710784 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
| Licence No | 2007008384 |
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Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
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What is the unique 10-digit identification code assigned to Wisam Hassan Ali Al Badr by the Centers for Medicare & Medicaid Services?
The Wisam Hassan Ali Al Badr has been issued the NPI (National Provider Identifier) 1710177480, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wisam Hassan Ali Al Badr is located?
The Wisam Hassan Ali Al Badr is situated at the following address: 9625 Chancelorsville Dr, Saint Louis, MO, 631263312.
What is Wisam Hassan Ali Al Badr's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wisam Hassan Ali Al Badr is Critical Access, and the taxonomy code that classifies this field of practice is 282Nc0060X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710177480 to Wisam Hassan Ali Al Badr?
The Centers for Medicare & Medicaid Services originally issued the 1710177480 to Wisam Hassan Ali Al Badr on 2007-07-30.
When was the information pertaining to Wisam Hassan Ali Al Badr most recently updated or revised?
The details related to Wisam Hassan Ali Al Badr, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-30.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC