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Contact Information

CLAYTON EMERGENCY GROUP LLC
6420 CLAYTON RD
RICHMOND HEIGHTS, MO63117-1811
 Phone: 314-768-8360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CLAYTON EMERGENCY GROUP LLC

NPI Number 1831336197
LBN Legal business name CLAYTON EMERGENCY GROUP LLC
Authorized official LISHA FALK - (VP OF CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2009
Last updated 01/02/2020 - About 6 years ago
Identifiers
MO Medicaid 1831336197
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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