Affton Medical Clinic
LBN: Affton Medical Clinic
Affton Medical Clinic is an health care organization with primary practice located at 84 Grasso Plaza , St Louis MO 63123. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Affton Medical Clinic can be contacted via phone (314) 638-9309, or through Casino, Rubilinda via phone (314) 638-9309.
Contact Information
Primary practice address
84 Grasso Plaza
St Louis MO 63123
Phone: (314) 638-9309
Fax: (314) 637-9333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1528251337 |
|---|---|
| LBN Legal business name | Affton Medical Clinic |
| DBA Doing business as | |
| Authorized official | Casino, Rubilinda Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Mar 1st, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528251337 | NPPES |
| Missouri | MEDICAID | 50291440 |
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