St. Louis Regional Dialysis Center, Inc.
St. Louis Regional Dialysis Center, Inc. is a health care provider in Saint Ann, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 10951 Saint Charles Rock Rd, Saint Ann, MO 63074-1505, US |
|Practice Location Phone||314-739-7339|
|Practice Location Fax|
|Legal Business Name||ST. LOUIS REGIONAL DIALYSIS CENTER, INC.|
|Other Organization Name||BMA ST. LOUIS|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Aug 31, 2006|
|Last Update Date ? ||Dec 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of St. Louis Regional Dialysis Center, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||End-Stage Renal Disease (ESRD) Treatment |
Legacy Provider IDs of St. Louis Regional Dialysis Center, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|262507||Medicare Id-type Unspecified|
Authorized Official of St. Louis Regional Dialysis Center, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the St. Louis Regional Dialysis Center, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Mark Fawcett|
|Authorized Official Title/Position||TREASURER|
|Authorized Official Phone Number||781-699-9000|