Metro Hypertension & Kidney Center Pc
LBN: Metro Hypertension & Kidney Center Pc
Metro Hypertension & Kidney Center Pc is an health care organization with primary practice located at 1400 Us Highway 61 Ste 240 , Festus MO 63028-4141. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Metro Hypertension & Kidney Center Pc can be contacted via phone (636) 937-3337, or through Polack, Donovan C via phone (314) 432-2580.
Contact Information
Primary practice address
1400 Us Highway 61 Ste 240
Festus MO 63028-4141
Phone: (636) 937-3337
Fax: (636) 931-7671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2000155017 | Missouri |
| Other Service Providers / Specialist | 174400000X | R5H69 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X |
Profile Details
| NPI number | 1386688646 |
|---|---|
| LBN Legal business name | Metro Hypertension & Kidney Center Pc |
| DBA Doing business as | |
| Authorized official | Polack, Donovan C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 20th, 2018 - about 8 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 | 1386688646 | NPPES |
| Missouri | Other | DC5238 | RAILROAD MEDICARE |
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