# ID MED CONSULTING, INC

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

## Provider details

- **NPI number:** 1720374747
- **Authorized official:** MRS. ELAINE MARIE DUNN RN (PRESIDENT)
- **Authorized official phone:** (314) 651-4141

## Contact information

- **Practice address:** 43 QUAIL WOODS DR, FENTON, MO 63026-3444
- **Practice address phone:** (314) 651-4141
- **Practice address fax:** (636) 326-2659
- **Mailing address:** 43 QUAIL WOODS DR, FENTON, MO 63026-3444
- **Mailing address phone:** (314) 651-4141
- **Mailing address fax:** (636) 326-2659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 25858 | MO | Yes |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 06/28/2011