HEALTHMARK BRENTWOOD LLC NPI 1376692681

NPI Information

  • NPI: 1376692681
  • Provider Name: HEALTHMARK BRENTWOOD LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 450 N LINDBERGH BLVD STE A
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 446-0050

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NPI Details

HEALTHMARK BRENTWOOD LLC is an ambulatory surgical clinic center in Saint Louis, MO. HEALTHMARK BRENTWOOD LLC NPI is 1376692681. The provider is registered as an organization entity type.

The provider's business location address is:

450 N LINDBERGH BLVD STE A
SAINT LOUIS, MO
ZIP 63141-848
Phone: (314) 446-0050
Fax: (314) 822-8476

The provider's authorized official is Mary Sue Ekstrom .
The authorized official title is Office Manager and has the following contact phone number (314) 446-0050.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.

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
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: 3/30/2025

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