1245781459 NPI number — FRESENIUS VASCULAR CARE ST LOUIS ASC LLC

Table of content: (NPI 1245781459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245781459 NPI number — FRESENIUS VASCULAR CARE ST LOUIS ASC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRESENIUS VASCULAR CARE ST LOUIS ASC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245781459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 419581
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02241-9581
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-644-8900
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 DUNN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLORISSANT
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63031-7928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-830-3841
Provider Business Practice Location Address Fax Number:
314-831-0153
Provider Enumeration Date:
10/23/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
GREGG
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VP OPERATIONS
Authorized Official Telephone Number:
717-515-4048

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1245781459 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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