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Medsource of St. Louis, Inc.

Durable Medical Equipment & Medical Supplies in Saint Louis, MO · enumerated 2006 · authorized official Mark Coffett, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720001084

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Registry record

Entity type Organization (Type 2)
Legal business name Medsource of St. Louis, Inc.
Practice address 3394 Mckelvey Rd., Suite 102, Saint Louis, MO, 63044
Fax (314) 966-1001
Enumeration date Jul 26, 2006
Last updated in NPPES Dec 18, 2015

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 15710874 (MO) Primary

Authorized official

Name Mark Coffett
Title President

Other identifiers

Identifier Type State Issuer
626012405 Medicaid MO -
29678 Other MO BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Medsource of St. Louis, Inc.?
The NPI for Medsource of St. Louis, Inc. is 1720001084, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Medsource of St. Louis, Inc.?
NPPES lists Mark Coffett (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-18.