# RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rural Parish Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396210852
- **Authorized official:** PATRICK G. BIRA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (573) 979-4972

## Contact information

- **Practice address:** 10120 CREST ROAD, CADET, MO 63630-9629
- **Practice address phone:** (888) 870-9610
- **Practice address fax:** (573) 438-3685
- **Mailing address:** 20 ARCHBISHOP MAY DRIVE, ST. LOUIS, MO 63119
- **Mailing address phone:** (314) 792-7717
- **Mailing address fax:** (314) 289-8037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2018
- **Last updated:** 11/10/2020