THE PHOENIX OVERSIGHT AND CONSULTING LLC. NPI 1922574391

NPI Information

NPI: 1922574391
Provider Name: THE PHOENIX OVERSIGHT AND CONSULTING, LLC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7746 RANNELLS AVE
SAINT LOUIS, MO
ZIP 63143
Phone: (636) 226-4159
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THE PHOENIX OVERSIGHT AND CONSULTING, LLC. is an ambulatory surgical clinic center in Saint Louis, MO. THE PHOENIX OVERSIGHT AND CONSULTING, LLC. NPI is 1922574391. The provider is registered as an organization entity type.

The provider's business location address is:

7746 RANNELLS AVE
SAINT LOUIS, MO
ZIP 63143-823
Phone: (636) 226-4159

The provider's authorized official is Jonathan Kidd .
The authorized official title is Owner/chief Operating Officer and has the following contact phone number (217) 821-0759.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 10/23/2018.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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