MO HEALTH LLC (NPI# 1639442718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639442718 |
Entity Type | Organization |
Organization Name | MO HEALTH LLC |
Practice Address |
2331 Hampton Ave Saint Louis MO 63139-2908 |
Mailing Address |
630 Palisades View Dr Eureka MO 63025-3702 |
Practice Telephone | 6363334500 |
Mailing Telephone | 6363334500 |
Enumeration Date | 2012-02-20 |
Last Update Date | 2012-02-20 |
Authorized Official Name | SREENU ADA (CO-OWNER) |
Authorized Official Telephone | 6363334500 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
2331 HAMPTON AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63139-2908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528046489 | National Medical Information Svcs | Family Medicine | 2331 Hampton Ave, Saint Louis, MO 63139-2908 | 2006-01-02 |
1255602751 | National Medical Inc | Family Medicine | 2331 Hampton Ave, Saint Louis, MO 63139-2908 | 2012-01-16 |
1205159761 | Allegiance Medical X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2331 Hampton Ave, Saint Louis, MO 63139-2908 | 2010-03-11 |
1023342391 | Allegiance Medical Services | Clinical Medical Laboratory | 2331 Hampton Ave, Lower Level, Saint Louis, MO 63139-2908 | 2009-09-19 |
1487857090 | Dng Pharmaceuticals | Pharmacy | 2331 Hampton Ave, Saint Louis, MO 63139-2908 | 2007-06-10 |
1548487671 | Back To Life Wellness Center, Inc. | Clinic/Center | 2331 Hampton Ave, Saint Louis, MO 63139-2908 | 2007-04-19 |
1346228202 | On Call Physicians, LLC | Emergency Medicine | 2331 Hampton Ave, Saint Louis, MO 63139-2908 | 2006-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
Find all providers in zip 63139 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790205854 | Zachary Avital Goodman | General Practice | 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602 | 2017-06-20 |
1174926224 | Anita Dewan | General Practice | 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2014-10-03 |
1356755201 | Jessica Ellie Ma | General Practice | 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 | 2014-06-19 |
1235550385 | Doctor's On The Way, Inc | General Practice | 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 | 2013-12-16 |
1518398916 | John Allen Cooper | General Practice | 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 | 2013-12-10 |
1417382821 | Hyung T Kim | General Practice | 11 Crestwood Dr, Saint Louis, MO 63105-3032 | 2013-09-05 |
1356617443 | Kirsten Frances Dunn | General Practice | 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 | 2012-03-22 |
1902199623 | Care Plus Medical Group LLC | General Practice | 10650 Gateway Blvd, Saint Louis, MO 63132-1802 | 2011-05-27 |
1437474202 | Debra Lynne Moss | General Practice | 12929 Ballantine Ct, Saint Louis, MO 63146-3701 | 2010-04-05 |
1558538850 | Patrice Lynn Wakefield | General Practice | 514 Donne Ave, Saint Louis, MO 63130-3918 | 2008-05-15 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63139 |
Please comment or provide details below to improve the information on MO HEALTH LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.