CENTRALWEST IMMUNOLOGIC RESEARCH FOUNDATION (NPI# 1013533181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013533181 |
Entity Type | Organization |
Organization Name | CENTRALWEST IMMUNOLOGIC RESEARCH FOUNDATION |
Practice Address |
3960 Lindell Blvd Saint Louis MO 63108-3204 |
Practice Telephone | 3146520100 |
Mailing Telephone | 3146520100 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Authorized Official Name | PHILLIP JOHNSON (COMMUNITY OUTREACH LIAISON) |
Authorized Official Telephone | 3146805222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
3960 LINDELL BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63108-3204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992721260 | David A Parks, Md, PC | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2006-07-13 |
1487298725 | Brian Brennan | Nurse Practitioner | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2019-10-30 |
1558821538 | Patrick John Radler | Nurse Practitioner | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2019-03-25 |
1831691435 | Lisa Sanders | Pharmacist | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2018-02-28 |
1730681339 | Kristen Danielle Badger | Pharmacist | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2018-02-28 |
1952773822 | Jenna Cook | Nurse Practitioner | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2015-10-30 |
1629475934 | Charity Kostelac | Nurse Practitioner | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2014-12-02 |
1720321490 | Jeana D Ring | Pharmacist | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2013-04-01 |
1861746026 | Efthemia Davelis | Pharmacist | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2012-11-08 |
1689801714 | Schnuck Markets Inc. | Registered Nurse | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2009-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
Find all providers in zip 63108 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154665248 | Institute for Research and Education In Family Medicine | Clinic/Center | 3401 Arsenal St, Saint Louis, MO 63118-2001 | 2012-11-15 |
1477867034 | Md2u Missouri LLC | Clinic/Center | 111 W Port Plz, 6th Floor, Saint Louis, MO 63146-3011 | 2010-08-05 |
1871817726 | Cornerstone Chiropractic | Clinic/Center | 2115 Barrett Station Rd, Saint Louis, MO 63131-1606 | 2010-03-22 |
1124293790 | Z. A. Dalu M.d.,inc | Clinic/Center | 6744 Clayton Rd Ste 305, Saint Louis, MO 63117-1639 | 2008-04-24 |
1992721260 | David A Parks, Md, PC | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2006-07-13 |
1104441302 | Mi Primary Care, Pllc | Clinic/Center | 224 N Mill St, Saint Louis, MI 48880-1523 | 2020-06-12 |
1467089037 | Sure Healthcare Group, LLC | Clinic/Center | 2880 Netherton Dr, Saint Louis, MO 63136-4698 | 2020-03-24 |
1326524604 | Daniel D Bekele LLC | Clinic/Center | 6113 Ridge Ave, Saint Louis, MO 63133 | 2018-07-19 |
1285160382 | Dr Robin A Kundra Inc | Clinic/Center | 555 N New Ballas Rd, Suite 110, Saint Louis, MO 63141-6825 | 2017-05-10 |
1073069522 | Tadros Medical, LLC | Clinic/Center | 9701 Landmark Parkway Dr, Suite 110, Saint Louis, MO 63127-1665 | 2016-08-25 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63108 |
Please comment or provide details below to improve the information on CENTRALWEST IMMUNOLOGIC RESEARCH FOUNDATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.