CHESTERFIELD SPINE CENTER LLC NPI 1457552846

NPI Information

  • NPI: 1457552846
  • Provider Name: CHESTERFIELD SPINE CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ST. LOUIS SPINE AND ORTHOPEDIC SURGERY CENTER
  • CLIA Number: 26D1073911
  • Address: 1130 TOWN AND COUNTRY COMMONS
    TOWN AND COUNTRY, MO
    ZIP 63017
  • Phone: (636) 898-4695

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NPI Details

CHESTERFIELD SPINE CENTER, LLC is an ambulatory surgical clinic center in Town And Country, MO. CHESTERFIELD SPINE CENTER, LLC NPI is 1457552846. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Louis Spine And Orthopedic Surgery Center.

The provider's business location address is:

1130 TOWN AND COUNTRY COMMONS
TOWN AND COUNTRY, MO
ZIP 63017-200
Phone: (636) 898-4695

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 26D1073911 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 11/2/2022.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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