FRESENIUS VASCULAR CARE ST LOUIS ASC LLC NPI 1245781459

NPI Information

NPI: 1245781459
Provider Name: FRESENIUS VASCULAR CARE ST LOUIS ASC LLC

Doing Business As: AZURA SURGERY CENTER ST. LOUIS

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

Specialization: Ambulatory Surgical

Address:
201 DUNN RD
FLORISSANT, MO
ZIP 63031
Phone: (314) 830-3841
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FRESENIUS VASCULAR CARE ST LOUIS ASC LLC is an ambulatory surgical clinic center in Florissant, MO. FRESENIUS VASCULAR CARE ST LOUIS ASC LLC NPI is 1245781459. The provider is registered as an organization entity type.
The provider Is Doing Business As Azura Surgery Center St. Louis.

The provider's business location address is:

201 DUNN RD
FLORISSANT, MO
ZIP 63031-928
Phone: (314) 830-3841
Fax: (314) 831-0153

The provider's authorized official is Gregg Miller .
The authorized official title is Senior Vp Operations and has the following contact phone number (718) 369-1444.

The CLIA number assigned to this NPI record is 26D2127861 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2016 and was last updated on 8/15/2022.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	1245781459	MEDICAID	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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