TOTAL ACCESS URGENT CARE PC NPI 1265894778

NPI Information

NPI: 1265894778
Provider Name: TOTAL ACCESS URGENT CARE, PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D2115535

Address:
10923 OLIVE BLVD
CREVE COEUR, MO
ZIP 63141
Phone: (314) 764-8359
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TOTAL ACCESS URGENT CARE, PC is an urgent care clinic center in Creve Coeur, MO. TOTAL ACCESS URGENT CARE, PC NPI is 1265894778. The provider is registered as an organization entity type.

The provider's business location address is:

10923 OLIVE BLVD
CREVE COEUR, MO
ZIP 63141-740
Phone: (314) 764-8359
Fax: (314) 764-2954

The provider's authorized official is Matthew M Bruckel .
The authorized official title is President and has the following contact phone number (314) 961-2255.

The CLIA number assigned to this NPI record is 26D2115535 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 3/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	2005029371	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000015584	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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