Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Healthcare Services

Organization Clinic/Center · NPI 1699131573

Legacy Healthcare Services is a Clinic/Center in Ellisville, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

15822 Clayton Rd
Ellisville, MO 63011-2212
Phone: (636) 220-1681
Fax: (314) 200-4636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2005028265 (MO)

Record details

NPI number1699131573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Fiala — Ot/Rehab Director · (636) 448-2881
Other names The Fountains Of West County
NPI enumeratedJanuary 8, 2016
Last updated in NPPESJanuary 8, 2016
Mailing address15822 Clayton Rd, Ellisville, MO 63011-2212

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