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NOVA MEDICAL CENTER LLC NPI 1538703863


NPI Information

NPI: 1538703863
Provider Name: NOVA MEDICAL CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2230 S BRENTWOOD BLVD
SAINT LOUIS, MO
ZIP 63144
Phone: (314) 678-9355
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NOVA MEDICAL CENTER, LLC is a general practice in Saint Louis, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NOVA MEDICAL CENTER, LLC NPI is 1538703863. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2230 S BRENTWOOD BLVD
SAINT LOUIS, MO
ZIP 63144-831
Phone: (314) 678-9355
Fax: (314) 721-9559

The provider's authorized official is Sara K Vidan .
The authorized official title is Administrator and has the following contact phone number (636) 795-1144.

The enumeration date for this NPI number is 10/30/2019 and was last updated on 10/30/2019.


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
1208D00000XGeneral PracticeYes

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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