Mid-County Urology Inc

LBN: Mid-County Urology Inc
Mid-County Urology Inc is an health care organization with primary practice located at 621 S New Ballas Rd Suite 6011B, Saint Louis MO 63141-8232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Mid-County Urology Inc can be contacted via phone (314) 569-1750, or through Gaum, Leonard D via phone (314) 569-1750.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 6011B Saint Louis MO 63141-8232
Phone: (314) 569-1750
Fax: (314) 569-3846
Website:
Map and Directions
Authorized official contact:
Name: Gaum, Leonard D Doctor of Medicine (MD)
Phone: (314) 569-1750

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X R4A96 Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X 103702 Missouri

Profile Details

NPI number 1700832367
LBN Legal business name Mid-County Urology Inc
DBA Doing business as
Authorized official Gaum, Leonard D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Oct 2nd, 2012 - about 12 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 1700832367 NPPES
Missouri MEDICAID 201244514

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