Missouri Renal Medicine

LBN: Missouri Renal Medicine
Missouri Renal Medicine is an health care organization with primary practice located at 621 S New Ballas Rd Suite 3015B, Saint Louis MO 63141-8232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Missouri Renal Medicine can be contacted via phone (314) 251-6344, or through Jacobs, Robyn H via phone (314) 251-6344.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 3015B Saint Louis MO 63141-8232
Phone: (314) 251-6344
Fax: (314) 251-7929
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Robyn H Doctor of Medicine (MD)
Phone: (314) 251-6344

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1427267855
LBN Legal business name Missouri Renal Medicine
DBA Doing business as
Authorized official Jacobs, Robyn H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated May 3rd, 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 1427267855 NPPES
Missouri MEDICAID 506877000
Missouri Other CP8380

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