MEDICARE: INTERNATIONAL INSTITUTE OF METROPOLITAN SAINT LOUIS

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
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1720338874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNATIONAL INSTITUTE OF METROPOLITAN SAINT LOUIS

Provider Business Mailing Address
First Line	:	3654 S GRAND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3404
Country	:	US
Telephone Number	:	314-773-9090
Fax Number	:	314-773-6047

Provider Business Practice Location Address
First Line	:	3654 S GRAND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3404
Country	:	US
Telephone Number	:	314-773-9090
Fax Number	:	314-773-6047

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANNA CROSSLIN
Credential	:
Telephone Number	:	314-773-9090

Provider Enumeration Date	:	09/17/2012
Last Update Date	:	09/17/2012

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