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
Fax: (636) 931-7671
Website:
Authorized official contact:
Name: Polack, Donovan C

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386688646 NPPES
Missouri Other DC5238 RAILROAD MEDICARE

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