MMCMLLC (NPI# 1477104487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477104487 |
| Entity Type | Organization |
| Organization Name | MMCMLLC |
| Practice Address |
4173 Crescent Dr Ste A Saint Louis MO 63129-1082 |
| Practice Telephone | 3142542420 |
| Mailing Telephone | 3142542420 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | SANDY HARDMAN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 3142542420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mantality Health | Doing Business As Name - Organization |
| Street Address |
4173 CRESCENT DR STE A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256644 | Christy Palmer | Nurse Practitioner | 4173 Crescent Dr Ste A, Saint Louis, MO 63129-1082 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1740722230 | Saint Louis Allergy and Asthma Lc | Clinic/Center | 6651 Chippewa St Ste 312, Saint Louis, MO 63109-2532 | 2016-11-15 |
| 1609245448 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115-2512 | 2015-09-23 |
| 1538586037 | Advanced Cardiovascular Center LLC | Clinic/Center | 2335 Dougherty Ferry Rd, Suite A, Saint Louis, MO 63122-3313 | 2014-03-21 |
| 1871865881 | North County Health Care, Inc | Clinic/Center | 9231 West Florissant, Saint Louis, MO 63136-1432 | 2012-02-07 |
| 1013195478 | Union Manor Residential Care Facility | Clinic/Center | 2711 Union Blvd, Saint Louis, MO 63113-1003 | 2008-02-07 |
| 1497771653 | Instaclinic, LLC | Clinic/Center | 10805 Sunset Office Dr, Suite 300, Saint Louis, MO 63127-1017 | 2006-07-14 |
| 1508867508 | Family Care Health Centers | Clinic/Center | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-08-02 |
| 1346847233 | Washington University | Clinic/Center | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2020-10-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
Please comment or provide details below to improve the information on MMCMLLC.
| 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.