NPIMap

Organization Active NPI

Saint Louis Connectcare

Doing business as St. Louis ConnectCare Endoscopy Center

  • Endoscopy Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1679797237
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
199-0 Issued in MO
Legal business name
SAINT LOUIS CONNECTCARE
Doing business as
St. Louis ConnectCare Endoscopy Center
Practice address
5535 Delmar Blvd
Saint Louis, MO 63112-3005
Phone
(314) 879-6308
Fax
(314) 879-6372
NPI assigned
Apr 12, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LOUIS CONNECTCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mrs. Terri Dehne, RN
Title
Administrator
Phone
(314) 879-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 199-0 MO Primary

Addresses

Primary practice location

5535 Delmar Blvd
Saint Louis, MO 63112-3005

Mailing address

PO Box 795120
Saint Louis, MO 63179-0795
Phone (314) 879-6308

Other names 1

  • St. Louis ConnectCare Endoscopy Center Doing business as

National Provider Directory

National Provider Directory
Part of
St Louis Connect Care

Locations

5535 Delmar Blvd
Saint Louis, MO 63112
Phone (314) 879-6204

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1679797237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790795",
            "telephone_number": "314-879-6308",
            "fax_number": "314-879-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123005",
            "telephone_number": "314-879-6308",
            "fax_number": "314-879-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LOUIS CONNECTCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LOUIS CONNECTCARE",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "DEHNE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-879-6308",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MO",
            "license": "199-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis ConnectCare Endoscopy Center",
            "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 Jun 20, 2008; 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.