Total Access Urgent Care, Pc

LBN: Total Access Urgent Care, Pc
Total Access Urgent Care, Pc is an health care organization with primary practice located at 2980 Dougherty Ferry Rd , Saint Louis MO 63122. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Total Access Urgent Care, Pc can be contacted via phone (636) 529-8411, or through Bruckel, Matthew M via phone (314) 961-2255.

Contact Information

Primary practice address
2980 Dougherty Ferry Rd Saint Louis MO 63122
Fax: (636) 529-8412
Website:
Authorized official contact:
Name: Bruckel, Matthew M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1477061166
LBN Legal business name Total Access Urgent Care, Pc
DBA Doing business as
Authorized official Bruckel, Matthew M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2018
Last updated Jan 16th, 2018 - about 7 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 1477061166 NPPES
Other 000015584 MEDICARE PTAN

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