# DRX - FC MANAGEMENT 005, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctors Express - Des Peres
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326336702
- **Authorized official:** DR. BERNIE C RANCHERO MD (REGIONAL MEDICAL DIRECTOR)
- **Authorized official phone:** (630) 696-0714

## Contact information

- **Practice address:** 11648 MANCHESTER RD, DES PERES, MO 63131-4612
- **Practice address phone:** (314) 821-1099
- **Practice address fax:** (314) 395-0945
- **Mailing address:** 1610 N KINGSHIGHWAY ST, SUITE 301, CAPE GIRARDEAU, MO 63701-2196
- **Mailing address phone:** (573) 335-2900
- **Mailing address fax:** (314) 932-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 07/19/2011