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RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS NPI 1396210852


NPI Information

NPI: 1396210852
Provider Name: RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS

Doing Business As: RURAL PARISH CLINIC

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 26D2161902

Address:
10120 CREST ROAD
CADET, MO
ZIP 63630
Phone: (888) 870-9610
Get Directions

RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS is an adult medicine family medicine in Cadet, MO. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS NPI is 1396210852. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rural Parish Clinic.

The provider's business location address is:

10120 CREST ROAD
CADET, MO
ZIP 63630-629
Phone: (888) 870-9610
Fax: (573) 438-3685

The provider's authorized official is Patrick G. Bira .
The authorized official title is Executive Director and has the following contact phone number (573) 979-4972.

The CLIA number assigned to this NPI record is 26D2161902 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 11/10/2020.


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
1207QA0505XFamily MedicineAdult MedicineYes

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

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