SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC – NPI #1134352396
Clinic/Center

SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC is an AHC clinic located in FESTUS, MO. NPPES has assigned the NPI number 1134352396 to SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC on September 03, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC below.

NPI Profile for
SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC

NPI Number
1134352396
Enumeration Date

(about 17 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
SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC
Primary location
1479 HIGHWAY 61
SUITE A
FESTUS, MO 63028-4109
Phone: (636) 579-6148 Fax: (888) 756-6714
Mailing address
12342 SPANISH TRACE DR
MARYLAND HEIGHTS, MO 63043-2306
Phone: (314) 542-3686 Fax: (888) 756-6714
Organization Subpart
No
Authorized Official
RATAN NALLAMOTHU
PHYSICIAN
Phone: (636) 579-6148
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
261QP2300X
- Clinic/Center / Primary Care (Primary)
MO 2009008003

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.