Provider Demographics
NPI:1710077250
Name:NOW EXPRESS CARE CLINIC
Entity Type:Organization
Organization Name:NOW EXPRESS CARE CLINIC
Other - Org Name:MMBWLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MECCA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-625-1395
Mailing Address - Street 1:7909 HIGHWAY N
Mailing Address - Street 2:
Mailing Address - City:DARDENNE
Mailing Address - State:MO
Mailing Address - Zip Code:63366-7382
Mailing Address - Country:US
Mailing Address - Phone:636-625-1395
Mailing Address - Fax:
Practice Address - Street 1:7909 HIGHWAY N
Practice Address - Street 2:
Practice Address - City:DARDENNE
Practice Address - State:MO
Practice Address - Zip Code:63366-7382
Practice Address - Country:US
Practice Address - Phone:636-625-1395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center