NPIMap

Organization Active NPI

Saint Louis Renal Care, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brentwood, MO
National Provider Identifier
1174630909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SAINT LOUIS RENAL CARE, LLC
Practice address
1400 Strassner Road
Brentwood, MO 63144
Phone
(314) 768-3011
Fax
(314) 768-3560
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(781) 402-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1400 Strassner Road
Brentwood, MO 63144

Mailing address

1400 Strassner Road
Brentwood, MO 63144
Phone (314) 768-3011

Other names 1

  • Fresenius Medical Care-Forest Park Doing business as

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174630909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 STRASSNER ROAD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-768-3011",
            "fax_number": "314-768-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 STRASSNER ROAD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-768-3011",
            "fax_number": "314-768-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LOUIS RENAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-402-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care-Forest Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.