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Contact Information

CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
10890 VETERANS MEMORIAL PARKWAY
LAKE SAINT LOUIS, MO63367
 Phone: 636-561-3133
 Fax: 636-625-3534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CROSSROADS CLINIC VOLUNTEERS IN MEDICINE

NPI # 1053117598
LBN Legal business name CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
Authorized official MAIMUNA BAIG - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2025
Last updated 02/24/2025 - More than a year 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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