TOTAL ACCESS URGENT CARE PC NPI 1831601897

NPI Information

NPI: 1831601897
Provider Name: TOTAL ACCESS URGENT CARE, PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D2149267

Address:
507 S MAIN ST
O FALLON, MO
ZIP 63366
Phone: (636) 409-1092
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TOTAL ACCESS URGENT CARE, PC is an urgent care clinic center in O Fallon, MO. TOTAL ACCESS URGENT CARE, PC NPI is 1831601897. The provider is registered as an organization entity type.

The provider's business location address is:

507 S MAIN ST
O FALLON, MO
ZIP 63366-534
Phone: (636) 409-1092
Fax: (314) 409-1132

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 26D2149267 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/31/2017.

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		GROUP NPI

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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