Affiliated Hospitals Dialysis Center
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Creve Coeur, MO. Organization (NPI-2).
NPI number1477535722
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477535722
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliated Hospitals Dialysis Center
- Organization subpart
- No
- Enumeration date
- Nov 14, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
1009 Executive Parkway DrCreve Coeur, MO 63141-6324
Phone 314-434-4770 · Fax 314-434-1908
Mailing address
1009 Executive Parkway DrCreve Coeur, MO 63141-6324
Phone 314-434-4770 · Fax 314-434-1908
Authorized official
Connie Lynn Knarr
Executive Vice President
3144344770
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