HEALTHMARK BRENTWOOD LLC


Address: 450 N Lindbergh Blvd Ste A, Saint Louis, MO 63141-7848
Phone: 3144460050

HEALTHMARK BRENTWOOD LLC (NPI# 1376692681) 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) 1376692681
Entity Type Organization
Organization Name HEALTHMARK BRENTWOOD LLC
Practice Address 450 N Lindbergh Blvd Ste A
Saint Louis
MO 63141-7848
Mailing Address 11600 Manchester Rd Ste 101
Saint Louis
MO 63131-4691
Practice Telephone 3144460050
Practice Fax Number 3148228476
Mailing Telephone 3144460050
Mailing Fax Number 3148228476
Enumeration Date 2007-01-09
Last Update Date 2020-08-22
Authorized Official Name MS. MARY SUE EKSTROM (OFFICE MANAGER)
Authorized Official Telephone 3144460050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 450 N LINDBERGH BLVD STE A
City SAINT LOUIS
State MO
Zip Code 63141-7848

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NPI Name Taxonomy Address Enumeration
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1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
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1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467925180 Metro St Louis Surgery Center LLC Clinic/Center 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 2019-01-04
1295207587 Commons South Surgery Center, LLC Clinic/Center 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 2018-12-26
1922574391 The Phoenix Oversight and Consulting, LLC. Clinic/Center 7746 Rannells Ave, Saint Louis, MO 63143-1823 2018-10-23
1700363611 Apollo Ambulatory Surgery Center, LLC Clinic/Center 10012 Manchester Rd, Saint Louis, MO 63122-1826 2018-07-24
1730698374 Advanced Surgical Center of Sunset Hills LLC Clinic/Center 4594 S Lindbergh Blvd, Saint Louis, MO 63127 2017-09-27
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1114317757 Midamerica Spine Center, LLC Clinic/Center 13627 Big Bend Rd, Saint Louis, MO 63122-3915 2015-02-04
1528210770 South County Outpatient Endoscopy Services, Lp Clinic/Center 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128 2008-10-21
1619026952 Healthmark Ballas LLC Clinic/Center 456 N New Ballas Rd Ste 266, Saint Louis, MO 63141-6842 2007-01-09
1699824987 Healthmark Gravois LLC Clinic/Center 9701 Landmark Parkway Dr Ste 102, Saint Louis, MO 63127-1665 2007-01-09
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Competitor

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City SAINT LOUIS
Zip Code 63141

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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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