ST. LOUIS CHILDREN'S SURGERY CENTER LLC NPI 1316620933

NPI Information

NPI: 1316620933
Provider Name: ST. LOUIS CHILDREN'S SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
12184 NATURAL BRIDGE RD # 90
BRIDGETON, MO
ZIP 63044
Phone: (314) 391-4936
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ST. LOUIS CHILDREN'S SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bridgeton, MO. ST. LOUIS CHILDREN'S SURGERY CENTER, LLC NPI is 1316620933. The provider is registered as an organization entity type.

The provider's business location address is:

12184 NATURAL BRIDGE RD # 90
BRIDGETON, MO
ZIP 63044-017
Phone: (314) 391-4936
Fax: (314) 474-0191

The provider's authorized official is Devin Larsen .
The authorized official title is Ceo and has the following contact phone number (208) 340-1840.

The enumeration date for this NPI number is 8/10/2023 and was last updated on 8/10/2023.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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