institution
Premier Dialysis Of West County, Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Town And Country, Missouri
NPI 1841317377

Premier Dialysis Of West County, Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Edwardsville, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Premier Dialysis Of West County, Inc practices in Town And Country, MO. The NPI Number for Premier Dialysis Of West County, Inc is 1841317377 and holds a License No. (Missouri).

The current practice location address for Premier Dialysis Of West County, Inc is 13190 S Outer 40, Town And Country, MO and can be reached out via phone at 314-424-3330 and via fax at 314-485-3049.

Location: 13190 S Outer 40, Town And Country, MO, 62025-5736
institution
Provider Profile Details
NPI Number
1841317377
Provider Name
Premier Dialysis Of West County, Inc
Credential
Provider Entity Type
Organization
Address
13190 S Outer 40, Town And Country, MO, 62025-5736
Phone Number
314-424-3330
Fax Number
314-485-3049
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
507429801 05 MO
219086 01 MO ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
13190 S Outer 40
City
State
Zip
63017-5917
Phone Number
314-424-3330
Fax Number
314-485-3049
person
Provider Business Mailing Address Details
Address
13190 S Outer 40
City
State
Zip
63017-5917
Phone Number
314-424-3330
Fax Number
314-485-3049
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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