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Your Village Stl Llc

Pediatrics

JENNIFER TIETJEN
NPI: 1205552643Wildwood, Missouri, 63011(314) 753-3982

About Your Village Stl Llc

Your Village Stl Llc is a healthcare organization providing Pediatrics services, registered under National Provider Identifier (NPI) number 1205552643. The authorized official for Your Village Stl Llc is JENNIFER TIETJEN.

The organization is headquartered at 1719 BIG HORN BASIN DR, Wildwood, Missouri 63011. The main office can be reached at (314) 753-3982. Your Village Stl Llc has been NPI-registered since 2022.

Locations & Contact

Primary Location

Address
1719 BIG HORN BASIN DR
City
Wildwood
State
Missouri
ZIP
63011-4821
Phone
(314) 753-3982
View on Google Maps

Authorized Official

Name
JENNIFER TIETJEN

Mailing Address

Address
1719 BIG HORN BASIN DR
City
WILDWOOD
State
MO
ZIP
630114821

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Pediatrics
Classification
Pediatrics
Taxonomy Code
208000000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Your Village Stl Llc's NPI number?
Your Village Stl Llc's National Provider Identifier (NPI) is 1205552643. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Your Village Stl Llc specialize in?
Your Village Stl Llc specializes in Pediatrics.
Where is Your Village Stl Llc located?
Your Village Stl Llc practices at 1719 BIG HORN BASIN DR, Wildwood, Missouri 63011. You can reach them by phone at (314) 753-3982.
Does Your Village Stl Llc accept Medicare?
Based on available data, Your Village Stl Llc is not currently enrolled in the Medicare program.
Does Your Village Stl Llc offer telehealth or virtual visits?
Your Village Stl Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Your Village Stl Llc holds NPI 1205552643, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.