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ST. LOUIS RENAL CARE LLC GRAND NPI 1417150178


NPI Information

NPI: 1417150178
Provider Name: ST. LOUIS RENAL CARE LLC GRAND

Doing Business As: FRESENIUS MEDICAL CARE GRAND

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3691 RUTGER ST
SUITE 222
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 268-5063
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ST. LOUIS RENAL CARE LLC GRAND is an end-stage renal disease (esrd) treatment clinic center in Saint Louis, MO. ST. LOUIS RENAL CARE LLC GRAND NPI is 1417150178. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Grand.

The provider's business location address is:

3691 RUTGER ST
SUITE 222
SAINT LOUIS, MO
ZIP 63110-515
Phone: (314) 268-5063
Fax: (314) 268-5115

The provider's authorized official is Gerdi Winkler .
The authorized official title is Area Manager and has the following contact phone number (314) 872-7025.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 8/22/2020.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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