Provider Demographics
NPI:1922379627
Name:WNO HEALTHPARTNERS, LLC
Entity Type:Organization
Organization Name:WNO HEALTHPARTNERS, LLC
Other - Org Name:EUREKA URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SUK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:314-307-2582
Mailing Address - Street 1:623 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-1110
Mailing Address - Country:US
Mailing Address - Phone:636-549-3511
Mailing Address - Fax:314-584-5050
Practice Address - Street 1:623 W 5TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-1110
Practice Address - Country:US
Practice Address - Phone:636-549-3511
Practice Address - Fax:314-584-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care