TOTAL ACCESS URGENT CARE PC NPI 1356968432

NPI Information

NPI: 1356968432
Provider Name: TOTAL ACCESS URGENT CARE, PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D2191759

Address:
1001 SOUTHERN RIDGE LN
LAKE SAINT LOUIS, MO
ZIP 63367
Phone: (636) 265-6230
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TOTAL ACCESS URGENT CARE, PC is an urgent care clinic center in Lake Saint Louis, MO. TOTAL ACCESS URGENT CARE, PC NPI is 1356968432. The provider is registered as an organization entity type.

The provider's business location address is:

1001 SOUTHERN RIDGE LN
LAKE SAINT LOUIS, MO
ZIP 63367-000
Phone: (636) 265-6230
Fax: (636) 265-6231

The provider's authorized official is Matthew 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 26D2191759 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.

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			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	1962684886	OTHER		NPI MAIN

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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