Provider Demographics
NPI:1336913557
Name:SLEEP CENTERS OF MISSOURI, LLC
Entity type:Organization
Organization Name:SLEEP CENTERS OF MISSOURI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-521-2950
Mailing Address - Street 1:3065 WILLIAM ST STE 207
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-6373
Mailing Address - Country:US
Mailing Address - Phone:573-334-9095
Mailing Address - Fax:573-334-0960
Practice Address - Street 1:11520 SAINT CHARLES ROCK RD STE 105
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2732
Practice Address - Country:US
Practice Address - Phone:314-475-5078
Practice Address - Fax:314-475-5032
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP CENTERS OF MISSOURI, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies