Metro St. Louis Dialysis - Florissant Llc

LBN: Metro St. Louis Dialysis - Florissant Llc
Metro St. Louis Dialysis - Florissant Llc is an health care organization with primary practice located at 10160 W Florissant Ave , Saint Louis MO 63136-2104. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Metro St. Louis Dialysis - Florissant Llc can be contacted via phone (314) 869-4978, or through Greene, Keisha Denise via phone (978) 522-3905.

Contact Information

Primary practice address
10160 W Florissant Ave Saint Louis MO 63136-2104
Phone: (314) 869-4978
Fax: (314) 869-5098
Website:
Map and Directions
Authorized official contact:
Name: Greene, Keisha Denise
Phone: (978) 522-3905

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1942363320
LBN Legal business name Metro St. Louis Dialysis - Florissant Llc
DBA Doing business as
Authorized official Greene, Keisha Denise
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 18th, 2022 - about 3 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 1942363320 NPPES
Missouri MEDICAID 506121102

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