METRO SAINT LOUIS DIALYSIS CENTER
NPI 1407916653
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Louis, MO
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About METRO SAINT LOUIS DIALYSIS CENTER
This page provides the complete NPI Profile along with additional information for Metro Saint Louis Dialysis Center, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1407916653 assigned on December 2006. The practitioner's primary taxonomy code is 261QE0700X with license number LC0062653 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Bhanjalal Dara M.d. (Medical Director)
- NPI
- 1407916653 Verify this NPI
- Provider Name
- METRO SAINT LOUIS DIALYSIS CENTER
- Entity Type
- Organization
- Location Address
- 10160 W FLORISSANT AVE SAINT LOUIS, MO 63136
- Location Phone
- (314) 869-4978
- Location Fax
- (314) 869-5245
- Mailing Address
- 10160 W FLORISSANT AVE SAINT LOUIS, MO 63136
- Mailing Phone
- (314) 869-4978
- Mailing Fax
- (314) 869-5245
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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 End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- LC0062653
- License State
- MO
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 179188 | OTHER (01) | MO | BCBS OF MISSOURI |
| 167804 | OTHER (01) | MO | HEALTHLINK |
| 189912 | OTHER (01) | MO | GROUP HEALTH PLAN |
| 5000123 | OTHER (01) | MO | UNITEDHEALTHCARE |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SAINT LOUIS, MO 63136
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407916653, enumerated as an "organization" on December 11, 2006.
The provider is located at 10160 W FLORISSANT AVE SAINT LOUIS, MO 63136 and the phone number is (314) 869-4978.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
