| Organization Name: | HEART CARE INSTITUTE AFFILIATED SERVICES, LLC |
| NPI Number: | 1063756278 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY EGHIGIAN (DIRECTOR) |
| Mailing Address: | 1020 N Mason Rd Suite 200 Creve Coeur |
| State: | MO US |
| Postal Code: | 631416300 |
| Phone Number: | 3149963140 |
| Fax Number: | 3149963132 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 05/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0404X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Cardiac Facilities |
| Taxonomy Definition: | |