HEALTHMARK GRAVOIS LLC


Address: 9701 Landmark Parkway Dr Ste 102, Saint Louis, MO 63127-1665
Phone: 3144460050

HEALTHMARK GRAVOIS LLC (NPI# 1699824987) 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) 1699824987
Entity Type Organization
Organization Name HEALTHMARK GRAVOIS LLC
Practice Address 9701 Landmark Parkway Dr Ste 102
Saint Louis
MO 63127-1665
Mailing Address 11600 Manchester Rd Ste 1o1
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 MRS. 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 9701 LANDMARK PARKWAY DR STE 102
City SAINT LOUIS
State MO
Zip Code 63127-1665

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NPI Name Taxonomy Address Enumeration
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1043612773 Braham Dev Dewan Internal Medicine 9917 Grandview Forest Court, Saint Louis, MO 63127 2014-09-25
1639518673 Jonathan Yoon Otolaryngology 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 2013-06-24
1639515315 Kathleen Mary Lowe Internal Medicine 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 2013-05-21
1366782088 Sunset Hills Family Chiropractic LLC Clinic/Center 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 2013-02-15
1063743300 John Ralph Firth Dentist 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 2010-01-27
1174762850 Antonio I Longrais Dentist 4600 S. Lindbeigh 63127, St. Louis, MO 63127 2009-02-19
1447439716 George D Bankhead Dds Ms PC Dentist 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 2007-11-02
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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...

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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
1376692681 Healthmark Brentwood LLC Clinic/Center 450 N Lindbergh Blvd Ste A, Saint Louis, MO 63141-7848 2007-01-09
1619026952 Healthmark Ballas LLC Clinic/Center 456 N New Ballas Rd Ste 266, Saint Louis, MO 63141-6842 2007-01-09
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Competitor

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City SAINT LOUIS
Zip Code 63127

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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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