| Primedstl, LLC | |
|
226 S Woods Mill Rd Ste 56w Chesterfield MO 63017-3664 | |
| (314) 373-2504 | |
| (314) 373-2508 |
| Full Name | Primedstl, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 226 S Woods Mill Rd Ste 56w, Chesterfield, Missouri |
| Authorized Official Name and Position | Katherine Elizabeth Huhn-usry (PHYSICIAN) |
| Authorized Official Contact | 3143732504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedstl, LLC 226 S Woods Mill Rd Ste 56w Chesterfield MO 63017-3664 Ph: (314) 373-2504 | Primedstl, LLC 226 S Woods Mill Rd Ste 56w Chesterfield MO 63017-3664 Ph: (314) 373-2504 |
| NPI Number | 1285371609 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Medicare PECOS PAC ID | 1153706627 |
|---|---|
| Medicare Enrollment ID | O20220920000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285371609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Katherine E Huhn Usry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700087269 PECOS PAC ID: 8022195866 Enrollment ID: I20080404000052 |
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