MEDSOURCE OF ST. LOUIS, INC.
NPI 1720001084
Durable Medical Equipment & Medical Supplies in Saint Louis, MO

Q: What is Medsource Of St. Louis, Inc.'s NPI number?

The NPI number for Medsource Of St. Louis, Inc. is 1720001084. It was assigned to this organization in the NPPES registry on July 26, 2006.

Q: What is Medsource Of St. Louis, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since July 26, 2006

3394 MCKELVEY RD., SUITE 102, SAINT LOUIS, MO 63044(314) 966-1818(314) 966-1001 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medsource Of St. Louis, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDSOURCE OF ST. LOUIS, INC. (NPI 1720001084) is a healthcare organization registered as a durable medical equipment & medical supplies in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization lists Mark Coffett, President, as its authorized official.

NPPES Registry Identity

NPI1720001084

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMEDSOURCE OF ST. LOUIS, INC.

Location Address3394 MCKELVEY RD., SUITE 102Saint Louis, MO 63044

Mailing Address3394 Mckelvey Rd., Suite 102Saint Louis, MO 63044 · (314) 966-1818 · Fax (314) 966-1001

Phone(314) 966-1818

Fax(314) 966-1001

Organization SubpartNo

Authorized OfficialMark CoffettPresident · (314) 966-1818

Enumeration DateJuly 26, 2006

Last NPPES UpdateDecember 18, 2015

✔ NPI 1720001084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in MO · 15710874

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3394 MCKELVEY RD., Saint Louis, MO 63044

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Other Identifiers 3

Other29678MO · Blue Cross Blue Shield

Medicaid626012405MO

Medicare ID-Type Unspecified4137900001MO · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medsource Of St. Louis, Inc.'s NPI number?

The NPI number for Medsource Of St. Louis, Inc. is 1720001084. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Medsource Of St. Louis, Inc. located?

Medsource Of St. Louis, Inc. is located at 3394 Mckelvey Rd. Suite 102, Saint Louis, MO 63044. The listed phone number is (314) 966-1818.

What is Medsource Of St. Louis, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Medsource Of St. Louis, Inc. accept?

Health plans from UnitedHealthcare list Medsource Of St. Louis, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medsource Of St. Louis, Inc. was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.