Missouri Injury Clinics South, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MISSOURI INJURY CLINICS SOUTH, LLC

Practice address

11144 Tesson Ferry Rd Ste 200
Saint Louis, MO 63123-6965

Phone

(636) 262-3086

NPI assigned

Feb 7, 2025

Organization subpart

No

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

Authorized official

Name

Joseph L. Hollingsworth, DCNPI 1154779072

Title

Manager

Phone

(636) 262-3086

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph L. Hollingsworth, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1154779072
  NPD Authorized official

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1093520132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "636-262-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "636-262-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI INJURY CLINICS SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-262-3086",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Missouri Medical Supply, Inc.

• Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.