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Contact Information

JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES
1390 US HIGHWAY 61
SUITE 3301
FESTUS, MO63028-4137
 Phone: 636-931-6302
 Fax: 636-933-5055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES

NPI Number 1679836381
LBN Legal business name JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES
Authorized official DANIEL ECKENFELS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/18/2012
Last updated 06/18/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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