Family Medicine - Slmg South, LLC
Family Medicine in Imperial, MO. Organization (NPI-2).
NPI number1164077822
StatusActive
Last updated in NPPESMar 5, 2026
Details
- NPI
- 1164077822
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Medicine - Slmg South, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 8, 2019
- Certification date
- Mar 5, 2026
- Last updated
- Mar 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1501 Professional DrImperial, MO 63052-3809
Phone 636-464-4000 · Fax 636-529-0699
Mailing address
121 Saint Lukes Center DrChesterfield, MO 63017-3518
Phone 636-685-7804
Other practice locations
103 Hilltop Village Shopping Center Dr.
Eureka, MO 63025
Eureka, MO 63025
Phone 636-587-6350 · Fax 636-529-0699
Authorized official
Darren R. Haskell
Chief Medical Officer
3142056444
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Other Family Medicine Physician providers in Imperial, MO
- Nicole E Baker, DONPI 1235340332
- Amanda Binsted, DONPI 1104389824
- Patterson Family PracticeNPI 1861579013
- Michael A Patterson, D.O.NPI 1699857151
All 5 Family Medicine Physician providers in Imperial · All 130 providers in Imperial
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