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ST. LOUIS REGIONAL DIALYSIS CENTER INC. NPI 1922110808


NPI Information

NPI: 1922110808
Provider Name: ST. LOUIS REGIONAL DIALYSIS CENTER, INC.

Doing Business As: BMA ST LOUIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 26D0437697

Address:
10951 SAINT CHARLES ROCK RD
SAINT ANN, MO
ZIP 63074
Phone: (314) 739-4691
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ST. LOUIS REGIONAL DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Saint Ann, MO. ST. LOUIS REGIONAL DIALYSIS CENTER, INC. NPI is 1922110808. The provider is registered as an organization entity type.
The provider Is Doing Business As Bma St Louis.

The provider's business location address is:

10951 SAINT CHARLES ROCK RD
SAINT ANN, MO
ZIP 63074-505
Phone: (314) 739-4691
Fax: (314) 739-4723

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 26D0437697 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/13/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 5/5/2024

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