| Nova Medical Center, Llc | |
|
2230 S Brentwood Blvd Saint Louis MO 63144-1831 | |
| (314) 678-9355 | |
| (314) 721-9559 |
| Full Name | Nova Medical Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2230 S Brentwood Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Sara K Vidan (ADMINISTRATOR) |
| Authorized Official Contact | 6367951144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Center, Llc 2230 S Brentwood Blvd Saint Louis MO 63144-1831 Ph: (314) 678-9355 | Nova Medical Center, Llc 2230 S Brentwood Blvd Saint Louis MO 63144-1831 Ph: (314) 678-9355 |
| NPI Number | 1538703863 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 7012337751 |
|---|---|
| Medicare Enrollment ID | O20201019000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538703863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Ann Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033659859 PECOS PAC ID: 1355628074 Enrollment ID: I20170508000726 |
| Provider Name | Jennifer L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750769261 PECOS PAC ID: 8426380916 Enrollment ID: I20191104000267 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |