Provider Demographics
NPI:1073344842
Name:RCF MEDICAL LLC
Entity type:Organization
Organization Name:RCF MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RACQUEL
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:FRISELLA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:314-960-9294
Mailing Address - Street 1:17247 CHESTERFIELD AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1423
Mailing Address - Country:US
Mailing Address - Phone:314-960-9294
Mailing Address - Fax:
Practice Address - Street 1:17247 CHESTERFIELD AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1423
Practice Address - Country:US
Practice Address - Phone:314-960-9294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center