St Gabriel Clinic CDM
Organization Active NPI Clinic/Center · Saint Louis, MO
NPI 1144094087 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1144094087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ST GABRIEL CLINIC CDM
- Practice address
- 6115 Ridge Ave
Saint Louis, MO 63133-2616 - Phone
- (314) 230-9050
- Fax
- (844) 870-7109
- NPI assigned
- Nov 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Desta Bekele, MD
- Title
- Owner
- Phone
- (720) 235-6443
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/18172/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
6115 Ridge Ave
Saint Louis, MO 63133-2616
Mailing address
6115 Ridge Ave
Saint Louis, MO 63133-2616
Phone (314) 230-9050
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.