Active NPIOrganization

2ND Street Emergency Physicians LLC

Emergency Medicine in Clinton, Missouri

NPI Number1891117107
Practice location
1600 N 2ND St, Clinton, MO 64735-1192
Fax
—
Last updated
January 7, 2014

2ND Street Emergency Physicians LLC is a healthcare organization based in Clinton, MO. The NPI number for 2ND Street Emergency Physicians LLC is 1891117107. The current practice location address is 1600 N 2ND St, Clinton, MO 64735-1192 and the office can be reached by phone at 660-885-5511. The NPI was assigned on January 7, 2014 and the record was last updated in NPPES on January 7, 2014.

●Provider Profile Details

NPI Number
1891117107
Provider Name
2ND Street Emergency Physicians LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Emergency Medicine · 207P00000X
Organization Subpart
No
Authorized Official
Gregory Byrne, MD · President · 469-401-2386
Enumeration Date
January 7, 2014
Last Update Date
January 7, 2014
NPI Status
Active

◉Business Practice Location Address

Address
1600 N 2ND St
Clinton, MO 64735-1192
ZIP
64735-1192
Country
US
Phone Number
660-885-5511

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✉Business Mailing Address

Address
13737 Noel RD
Ste 1600
Dallas, TX 75240-1331
City
Dallas
State
TX
ZIP
75240-1331
Phone Number
469-401-2386
Fax Number
214-712-2444

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Emergency Medicine
193200000X - Multi-Specialty Group
207P00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 2ND Street Emergency Physicians LLC?

The NPI number of 2ND Street Emergency Physicians LLC is 1891117107. It was assigned on January 7, 2014 and is currently active in the NPPES registry.

What is the specialty of 2ND Street Emergency Physicians LLC?

2ND Street Emergency Physicians LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).

Where does 2ND Street Emergency Physicians LLC practice?

The practice location is 1600 N 2ND St, Clinton, MO 64735-1192. The office can be reached at 660-885-5511 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891117107 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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