Organization Active NPI

DRX - FC Management 002, LLC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1316245780
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DRX - FC MANAGEMENT 002, LLC
Doing business as
Doctors Express - Creve Coeur
Practice address
747 N New Ballas Rd
Saint Louis, MO 63141-6715
Phone
(314) 991-3030
Fax
(314) 991-3031
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Bernie C Ranchero, MD
Title
Regional Medical Director
Phone
(630) 696-0714

Specialties & licenses 1

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

Addresses

Primary practice location

747 N New Ballas Rd
Saint Louis, MO 63141-6715

Mailing address

1610 N Kingshighway St
Third Floor, Suite 301
Cape Girardeau, MO 63701-2196
Phone (573) 335-2900

Other names 1

  • Doctors Express - Creve Coeur Doing business as

National Provider Directory

National Provider Directory

Locations

747 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 991-3030

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1316245780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N KINGSHIGHWAY ST",
            "address_2": "THIRD FLOOR, SUITE 301",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012196",
            "telephone_number": "573-335-2900",
            "fax_number": "314-932-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416715",
            "telephone_number": "314-991-3030",
            "fax_number": "314-991-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRX - FC MANAGEMENT 002, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "RANCHERO",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REGIONAL MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-696-0714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Express - Creve Coeur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.