RENITA MITCHELL


Address: 10326 Chesley Dr, Saint Louis, MO 63136-2359
Phone: 7065189458

RENITA MITCHELL (NPI# 1093113748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093113748
Entity Type Individual
Full Name RENITA MITCHELL
Credential CNA
Practice Address 10326 Chesley Dr
Saint Louis
MO 63136-2359
Practice Telephone 7065189458
Mailing Telephone 7065189458
Enumeration Date 2014-12-11
Last Update Date 2014-12-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2865M2000X Military Hospital
Specialization: Military General Acute Care Hospital
144708 MO Hospitals

Office Location

Street Address 10326 CHESLEY DR
City SAINT LOUIS
State MO
Zip Code 63136-2359

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Taxonomy Information

Taxonomy Code 2865M2000X
Grouping Hospitals
Classification Military Hospital
Specialization Military General Acute Care Hospital

Taxonomy Definition

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items.
Notes: [1/1/2005: title modified, definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962946053 Mary Ellen Rollins Military Hospital 800 Hospital Dr, Columbia, MO 65201-5275 2016-12-08
1104220391 Kcva Military Hospital 4801 E Linwood Blvd, Kansas City, MO 64128-2226 2014-10-16
1902104284 General Leonard Wood Army Community Hospital Military Hospital 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 2011-03-10
1962722462 Kansas City Va Medical Center Military Hospital 4801 E Linwood Blvd, Kansas City, MO 64128-2226 2010-06-07

Competitor

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City SAINT LOUIS
Zip Code 63136

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Dataset Information

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.

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