Organization
ST. LOUIS RENAL CARE LLC. PRINCE HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GERDI WINKLER RN CNN (AREA MANAGER)
(314) 920-6007
Entity
Organization
Contact information
Practice address
4411 N NEWSTEAD AVE, 2ND FLOOR DIALYSIS, SAINT LOUIS, MO 63115-2534
(314) 879-6278
(314) 381-1685
Mailing address
4411 N NEWSTEAD AVE, 2ND FLOOR DIALYSIS, SAINT LOUIS, MO 63115-2534
(314) 879-6278
(314) 381-1685
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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