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NPI Code Detail

MEDICARE: TOTAL ACCESS URGENT CARE, PC

MEDICARE: TOTAL ACCESS URGENT CARE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11962684886OTHERNPI MAIN

General Provider Information

NPI Number : 1427637149
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL ACCESS URGENT CARE, PC
Provider Business Mailing Address
First Line : 13861 MANCHESTER RD
Second Line :
City : BALLWIN
State : MO
Zip : 63011-4503
Country : US
Telephone Number : 636-556-0114
Fax Number :
Provider Business Practice Location Address
First Line : 4318 LOUGHBOROUGH AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-2104
Country : US
Telephone Number : 314-476-6173
Fax Number : 314-476-6174
Authorized Official
Title or Position : OWNER
Name : TROY ADAM DINKEL
Credential : MD
Telephone Number : 636-556-0114
Provider Enumeration Date : 04/08/2021
Last Update Date : 08/20/2024

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Directions to “TOTAL ACCESS URGENT CARE, PC ” Practice Location

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