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Contact Information

ADVANCED ICU CARE
999 EXECUTIVE PARKWAY DR
STE 210
SAINT LOUIS, MO63141-6336
 Phone: 314-514-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED ICU CARE

NPI # 1346579281
LBN Legal business name ADVANCED ICU CARE
Authorized official ISABELLE KOPEC - (V.P. MEDICAL AFFAIRS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2009
Last updated 12/23/2009 - About 16 years ago
Identifiers
WI License # 2009009197
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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