CENTRALWEST IMMUNOLOGIC RESEARCH FOUNDATION


Address: 3960 Lindell Blvd, Saint Louis, MO 63108-3204
Phone: 3146520100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 3960 LINDELL BLVD
City SAINT LOUIS
State MO
Zip Code 63108-3204

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SAINT LOUIS
Zip Code 63108

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Dataset Information

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.

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