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CHESTERFIELD SPINE CENTER LLC NPI 1457552846


NPI Information

NPI: 1457552846
Provider Name: CHESTERFIELD SPINE CENTER, LLC

Doing Business As: ST. LOUIS SPINE AND ORTHOPEDIC SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 26D1073911

Address:
1130 TOWN AND COUNTRY COMMONS
TOWN AND COUNTRY, MO
ZIP 63017
Phone: (636) 898-4695
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CHESTERFIELD SPINE CENTER, LLC is an ambulatory surgical clinic center in Town And Country, MO. CHESTERFIELD SPINE CENTER, LLC NPI is 1457552846. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Louis Spine And Orthopedic Surgery Center.

The provider's business location address is:

1130 TOWN AND COUNTRY COMMONS
TOWN AND COUNTRY, MO
ZIP 63017-200
Phone: (636) 898-4695

The provider's authorized official is Christine Slattery .
The authorized official title is Administrator/ceo and has the following contact phone number (636) 256-0320.

The CLIA number assigned to this NPI record is 26D1073911 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/26/2010.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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