Mcmrd, Llc

LBN: Mcmrd, Llc
Mcmrd, Llc is an health care organization with primary practice located at 11511 Cragwold Rd , Saint Louis MO 63122-7013. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Agencies / Community/Behavioral Health. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Mcmrd, Llc can be contacted via phone (816) 536-4236, or through Musselman, Melinda via phone (816) 536-4236.

Contact Information

Primary practice address
11511 Cragwold Rd Saint Louis MO 63122-7013
Phone: (816) 536-4236
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Musselman, Melinda RDN
Phone: (816) 536-4236

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1255003380
LBN Legal business name Mcmrd, Llc
DBA Doing business as
Authorized official Musselman, Melinda RDN
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2021
Last updated Nov 19th, 2021 - about 4 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 1255003380 NPPES
Illinois Other 1811274681 BCBS
Illinois MEDICAID 1811274681 BCBS

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