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TOTAL ACCESS URGENT CARE PC NPI 1346791837


NPI Information

NPI: 1346791837
Provider Name: TOTAL ACCESS URGENT CARE, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 26D2121573

Address:
1090 N HIGHWAY 67 ST
FLORISSANT, MO
ZIP 63031
Phone: (314) 961-2255
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TOTAL ACCESS URGENT CARE, PC is a clinic center in Florissant, 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 1346791837. The provider is registered as an organization entity type.

The provider's business location address is:

1090 N HIGHWAY 67 ST
FLORISSANT, MO
ZIP 63031-720
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 26D2121573 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000015584MEDICARE UPINMISSOURI

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

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