Organization
HEART CARE INSTITUTE AFFILIATED SERVICES, LLC
Active
Other names
HCIA Intensive Cardiac Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY EGHIGIAN (DIRECTOR)
(314) 273-0770
Entity
Organization
Contact information
Practice address
1020 N MASON RD, SUITE 200, CREVE COEUR, MO 63141-6300
(314) 996-3140
(314) 996-3132
Mailing address
1020 N MASON RD, SUITE 200, CREVE COEUR, MO 63141-6300
(314) 996-3140
(314) 996-3132
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DV4787
RR MEDICARE PIN
—
Enumeration date
11/15/2012
Last updated
05/26/2015
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