HEALTHMARK MEDICAL INC – NPI #1922167048
Clinic/Center

HEALTHMARK MEDICAL INC is an AHC clinic located in DES PERES, MO. NPPES has assigned the NPI number 1922167048 to HEALTHMARK MEDICAL INC on December 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEALTHMARK MEDICAL INC below.

NPI Profile for
HEALTHMARK MEDICAL INC

NPI Number
1922167048
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEALTHMARK MEDICAL INC
Primary location
11600 MANCHESTER RD
STE 101
DES PERES, MO 63131-4691
Phone: (314) 822-8471 Fax: (314) 822-8476
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUE EKSTROM
PRESIDENT
Phone: (314) 822-8471
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.