# ALBARCHA PRIMARY CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063659902
- **Authorized official:** BASSAM ALBARCHA MD (OWNER)
- **Authorized official phone:** (618) 355-9970

## Contact information

- **Practice address:** 4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
- **Practice address phone:** (618) 233-7750
- **Practice address fax:** (618) 355-9972
- **Mailing address:** 15134 CLAYTON RD, CHESTERFIELD, MO 63017-7046
- **Mailing address phone:** (618) 355-9970
- **Mailing address fax:** (618) 355-9972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036096687 | IL | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 08/24/2011