Organization · Type 2 NPI

St. Louis Renal Care Llc. Prince Hall

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Louis, MO

NPI number 1679776124 Active

Practice location

4411 N Newstead Ave, 2nd Floor Dialysis
St. Louis, MO 63115-2534

Fax (314) 381-1685

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1679776124

St. Louis Renal Care Llc. Prince Hall's National Provider Identifier is 1679776124, issued on Jun 11, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Louis, MO. The record was last updated on Aug 22, 2020.