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TOTAL ACCESS URGENT CARE PC NPI 1932659505


NPI Information

NPI: 1932659505
Provider Name: TOTAL ACCESS URGENT CARE, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 26D2121571

Address:
3802 S LINDBERGH BLVD
SUITE 101-102
SAINT LOUIS, MO
ZIP 63127
Phone: (314) 961-2255
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TOTAL ACCESS URGENT CARE, PC is a clinic center in Saint Louis, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TOTAL ACCESS URGENT CARE, PC NPI is 1932659505. The provider is registered as an organization entity type.

The provider's business location address is:

3802 S LINDBERGH BLVD
SUITE 101-102
SAINT LOUIS, MO
ZIP 63127-384
Phone: (314) 961-2255
Fax: (314) 270-3694

The provider's authorized official is Matthew M Bruckel .
The authorized official title is President and has the following contact phone number (314) 961-2255.

The CLIA number assigned to this NPI record is 26D2121571 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 10/7/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center2005029371MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000015584MEDICARE UPIN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.