NPIMap

Organization Active NPI

Affiliated Hospitals Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Creve Coeur, MO
National Provider Identifier
1477535722
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
AFFILIATED HOSPITALS DIALYSIS CENTER
Practice address
1009 Executive Parkway Dr
Creve Coeur, MO 63141-6324
Phone
(314) 434-4770
Fax
(314) 434-1908
NPI assigned
Nov 14, 2005
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
Connie Lynn Knarr, R.N.
Title
Executive Vice President
Phone
(314) 434-4770

Specialties & licenses 1

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

Addresses

Primary practice location

1009 Executive Parkway Dr
Creve Coeur, MO 63141-6324

Mailing address

1009 Executive Parkway Dr
Creve Coeur, MO 63141-6324
Phone (314) 434-4770

National Provider Directory

National Provider Directory
Tax ID family
Affiliated Hospitals Dialysis Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1009 Executive Parkway Dr
Saint Louis, MO 63141
Phone (314) 434-4770

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477535722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 EXECUTIVE PARKWAY DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416324",
            "telephone_number": "314-434-4770",
            "fax_number": "314-434-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 EXECUTIVE PARKWAY DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416324",
            "telephone_number": "314-434-4770",
            "fax_number": "314-434-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED HOSPITALS DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNARR",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "314-434-4770",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, 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.