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Contact Information

MIDWEST EMERGENCY ASSOCIATES DE PAUL LLC
12303 DEPAUL DR
BRIDGETON, MO63044
 Phone: 314-344-6000
 Fax: 630-734-1560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDWEST EMERGENCY ASSOCIATES DE PAUL LLC

NPI Number 1265479448
LBN Legal business name MIDWEST EMERGENCY ASSOCIATES DE PAUL LLC
Authorized official DANIEL SULLIVAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2006
Last updated 02/08/2008 - About 18 years ago
Identifiers
MO Medicaid 506085505
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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