CHESTERFIELD VALLEY GASTROENTEROLOGY LLC NPI 1104119916

NPI Information

  • NPI: 1104119916
  • Provider Name: CHESTERFIELD VALLEY GASTROENTEROLOGY LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 26D1075045
  • Address: 100 CHESTERFIELD BUSINESS PKWY STE 110
    CHESTERFIELD, MO
    ZIP 63005
  • Phone: (636) 532-0990

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NPI Details

CHESTERFIELD VALLEY GASTROENTEROLOGY LLC is a clinic center in Chesterfield, 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). CHESTERFIELD VALLEY GASTROENTEROLOGY LLC NPI is 1104119916. The provider is registered as an organization entity type.

The provider's business location address is:

100 CHESTERFIELD BUSINESS PKWY STE 110
CHESTERFIELD, MO
ZIP 63005-271
Phone: (636) 532-0990
Fax: (636) 532-0993

The provider's authorized official is Helen Kim-james .
The authorized official title is Physician/owner and has the following contact phone number (636) 532-0990.

The CLIA number assigned to this NPI record is 26D1075045 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/26/2011 and was last updated on 8/10/2011.

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/CenterYes

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: 3/30/2025

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