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P.R.I.M.E. HEALTH CENTERS - CHESTERFIELD LLC NPI 1043879471


NPI Information

NPI: 1043879471
Provider Name: P.R.I.M.E. HEALTH CENTERS - CHESTERFIELD, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 26D2252225

Address:
253 CHESTERFIELD INDUSTRIAL BLVD
CHESTERFIELD, MO
ZIP 63005
Phone: (636) 735-3577
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P.R.I.M.E. HEALTH CENTERS - CHESTERFIELD, LLC is a multi-specialty clinic center in Chesterfield, MO. P.R.I.M.E. HEALTH CENTERS - CHESTERFIELD, LLC NPI is 1043879471. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

253 CHESTERFIELD INDUSTRIAL BLVD
CHESTERFIELD, MO
ZIP 63005-201
Phone: (636) 735-3577

The provider's authorized official is Stephanie L Adeams .
The authorized official title is Practice Administrator and has the following contact phone number (636) 577-7812.

The CLIA number assigned to this NPI record is 26D2252225 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 6/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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