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NPI Code Detail

MEDICARE: ST. LUKE'S IMMEDIATE CARE, LLC

MEDICARE: ST. LUKE'S IMMEDIATE CARE, LLC
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
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1679426514
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. LUKE'S IMMEDIATE CARE, LLC
Provider Business Mailing Address
First Line : 226 S WOODS MILL RD STE 34W
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3442
Country : US
Telephone Number : 314-576-2306
Fax Number : 314-336-6224
Provider Business Practice Location Address
First Line : 232 S WOODS MILL RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3406
Country : US
Telephone Number : 314-576-2306
Fax Number : 314-336-6224
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : DR. DARREN HASKELL
Credential : MD
Telephone Number : 314-205-6444
Provider Enumeration Date : 02/19/2026
Last Update Date : 03/03/2026

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Directions to “ST. LUKE'S IMMEDIATE CARE, LLC ” Practice Location

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