Organization Active NPI

St. Louis Urgent Care #2 LLC

Doing business as MedPost Urgent Care - Ellisville

  • Urgent Care Clinic/Center
  • Ellisville, MO
National Provider Identifier
1093158990
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ST. LOUIS URGENT CARE #2 LLC
Doing business as
MedPost Urgent Care - Ellisville
Practice address
15420 Manchester Rd
Ellisville, MO 63011-3029
Phone
(636) 220-9727
Fax
(636) 220-9728
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Kyle Burtnett
Title
SVP of Outpatient Services, Tenet
Phone
(469) 893-2153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

15420 Manchester Rd
Ellisville, MO 63011-3029

Mailing address

15420 Manchester Rd
Ellisville, MO 63011-3029
Phone (636) 220-9727

Other names 1

  • MedPost Urgent Care - Ellisville Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1093158990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630113029",
            "telephone_number": "636-220-9727",
            "fax_number": "636-220-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630113029",
            "telephone_number": "636-220-9727",
            "fax_number": "636-220-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS URGENT CARE #2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPost Urgent Care - Ellisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.