AGM IOP/PHP, LLC — NPI 1346630803 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in OLIVETTE, MO)

CMS-1500 Box 24J / 33a • NPI

1346630803

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM0850X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

10199 WOODFIELD LN, OLIVETTE, MO, 63132-2922

✓ 9-Digit EDI 837 ZIP+4 (63132-2922)

Practice Phone & Referral Fax

(314) 282-2517

Fax: (314) 845-2798

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1346630803 (AGM IOP/PHP, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1346630803` (NPI-2 Organization / Facility)
Provider / Legal Name	AGM IOP/PHP, LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0850X` (Clinic/Center, Adult Mental Health)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	10199 WOODFIELD LN, OLIVETTE, MO, 63132-2922
Practice Telephone / Fax	Tel: (314) 282-2517 \| Fax: (314) 845-2798
Administrative Mailing Address	10199 WOODFIELD LN, OLIVETTE, MO, 63132-2922
Enumeration & Last Sync	Enumerated: 2015-02-04 \| CMS Record Updated: 2019-04-08
Authorized Official	FRANCO SICURO (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10199 WOODFIELD LN, OLIVETTE, MO, 63132-2922

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Plain-English Taxonomy & CMS Crosswalk (261QM0850X)

What Does Taxonomy Code 261QM0850X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0850X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AGM IOP/PHP, LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MO \| License: `LC001426559` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MO \| License: `LC001426559` \| Primary: Yes (Primary)

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AGM IOP/PHP, LLC (NPI #1346630803)