Crystal City Pulmonary Critical Care & Sleep Medicine

LBN: Crystal City Pulmonary Critical Care & Sleep Medicine
Crystal City Pulmonary Critical Care & Sleep Medicine is an health care organization with primary practice located at 1390 Us Highway 61 Ste 2300 , Festus MO 63028-4121. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Crystal City Pulmonary Critical Care & Sleep Medicine can be contacted via phone (636) 937-3121, or through Ingram, Sarah via phone (636) 937-3121.

Contact Information

Primary practice address
1390 Us Highway 61 Ste 2300 Festus MO 63028-4121
Fax: (636) 937-4423
Website:
Authorized official contact:
Name: Ingram, Sarah CPC

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2004030200 Missouri

Profile Details

NPI number 1326186602
LBN Legal business name Crystal City Pulmonary Critical Care & Sleep Medicine
DBA Doing business as
Authorized official Ingram, Sarah CPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Oct 21st, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326186602 NPPES
Missouri MEDICAID 500828603
Missouri MEDICAID 207306903

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