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TOTAL ACCESS URGENT CARE PC NPI 1427637149


NPI Information

NPI: 1427637149
Provider Name: TOTAL ACCESS URGENT CARE, PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D2218114

Address:
4318 LOUGHBOROUGH AVE
SAINT LOUIS, MO
ZIP 63116
Phone: (314) 476-6173
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TOTAL ACCESS URGENT CARE, PC is an urgent care clinic center in Saint Louis, MO. TOTAL ACCESS URGENT CARE, PC NPI is 1427637149. The provider is registered as an organization entity type.

The provider's business location address is:

4318 LOUGHBOROUGH AVE
SAINT LOUIS, MO
ZIP 63116-104
Phone: (314) 476-6173
Fax: (314) 476-6174

The provider's authorized official is Matthew 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 26D2218114 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2021 and was last updated on 4/8/2021.


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
1261QU0200XClinic/CenterUrgent CareYes

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
11962684886OTHERNPI MAIN

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

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.