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STEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC
NPI 1366283467
Clinic/Center in Warrenton, MO

Active since June 03, 2024
1428 N STATE HIGHWAY 47 STE B, WARRENTON, MO 63383(636) 456-2966 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center

About STEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC

This page provides the complete NPI Profile along with additional information for Steadfast Spine And Sports Medicine Of Warrenton Llc, a provider established in Warrenton, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1366283467 assigned on June 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Justin Cosgrove Dc, Ms (Owner)

NPI
1366283467 Verify this NPI
Provider Name
STEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC
Entity Type
Organization
Location Address
1428 N STATE HIGHWAY 47 STE B WARRENTON, MO 63383
Location Phone
(636) 456-2966
Mailing Address
1428 N STATE HIGHWAY 47 STE B WARRENTON, MO 63383
Mailing Phone
(636) 456-2966
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2024
Last Update Date
06-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTIN COSGROVE DC, MS

Authorized Official Title
OWNER
Authorized Official Phone
(636) 283-0328

Reviews for STEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

KELSEY SPENCER TOBLER CARDENAS D.C.
Chiropractor
1428 N STATE HIGHWAY 47 STE B
WARRENTON, MO 63383
Warren County (636) 456-2966
SARAH LYNN STANTON DC
Chiropractor
1428 N STATE HIGHWAY 47 STE B
WARRENTON, MO 63383
Warren County (636) 456-2966

Frequently Asked Questions

What is STEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC's NPI number?

The NPI number assigned to this healthcare provider is 1366283467, enumerated as an "organization" on June 03, 2024.

Where is the provider located?

The provider is located at 1428 N STATE HIGHWAY 47 STE B WARRENTON, MO 63383 and the phone number is (636) 456-2966.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.