MEDICINE FOR MEDICINE LLC NPI 1588260939

NPI Information

  • NPI: 1588260939
  • Provider Name: MEDICINE FOR MEDICINE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 26D2295808
  • Address: 16 HAMPTON VILLAGE PLZ STE 274
    SAINT LOUIS, MO
    ZIP 63109
  • Phone: (314) 312-3378

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NPI Details

MEDICINE FOR MEDICINE LLC is a family medicine in Saint Louis, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDICINE FOR MEDICINE LLC NPI is 1588260939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16 HAMPTON VILLAGE PLZ STE 274
SAINT LOUIS, MO
ZIP 63109-111
Phone: (314) 312-3378

The provider's authorized official is Trevor S Cook .
The authorized official title is Ceo and has the following contact phone number (361) 249-5359.

The CLIA number assigned to this NPI record is 26D2295808 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2020 and was last updated on 10/16/2023.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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