CATHOLIC CHARITIES OF ST. LOUIS (NPI# 1396210852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396210852 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF ST. LOUIS |
| Practice Address |
10120 Crest Rd. St. Joachim Catholic Church-attn: Rural Parish Clinic Cadet MO 63630 |
| Mailing Address |
4445 Lindell Blvd Attn: Rural Parish Clinic-tyrone Ford Or Mark Vogt St. Louis MO 63108 |
| Practice Telephone | 8888709610 |
| Practice Fax Number | 5734383685 |
| Mailing Telephone | 3143675500 |
| Mailing Fax Number | 3142898037 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | MR. TYRONE FORD (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 3143675500 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rural Parish Clinic | Doing Business As Name - Organization |
| Street Address |
10120 CREST RD. ST. JOACHIM CATHOLIC CHURCH-ATTN: RURAL PARISH CLINIC |
| City | CADET |
| State | MO |
| Zip Code | 63630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189161 | Show-me Health Innovations LLC | Nursing Care | 10430 Tindall Rd, Cadet, MO 63630-8283 | 2019-05-15 |
| 1821620832 | Cygnus of St. Louis, LLC | Case Management | 10430 Tindall Rd, Cadet, MO 63630-8283 | 2020-02-07 |
| 1134786494 | Silvertip Medical Services, LLC | Clinic/Center | 10430 Tindall Rd, Cadet, MO 63630-8283 | 2019-05-22 |
| 1841413440 | Musaddeque Ahmad,md,pc | Clinic/Center | 10048 Settle Mill Rd, Cadet, MO 63630-9288 | 2007-04-11 |
| 1548750847 | Great Mines Health Center | Clinic/Center | 10047 Diamond Rd Rm 809, Cadet, MO 63630-9581 | 2018-05-14 |
| 1104040716 | Kingston School Dist 14 | Physical Therapist | 10047 Diamond Rd, Cadet, MO 63630-9581 | 2007-04-13 |
| 1154796647 | Andrea Dee Abeln | Speech-Language Pathologist | 10047 Diamond Rd, Cadet, MO 63630-9581 | 2015-12-09 |
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728207 | Bryanna Scherer | Family Medicine | 961 Weatherstone Dr, Saint Charles, MO 63304-4520 | 2020-10-20 |
| 1689210924 | Jenna Matthews | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2019-11-21 |
| 1437686508 | Paul Anthony Williams Jr. | Family Medicine | 4431 Mcpherson Ave, Saint Louis, MO 63108-2505 | 2017-05-18 |
| 1548516685 | John Jung | Family Medicine | 3014 Blattner Dr, Cape Girardeau, MO 63703-6361 | 2012-07-26 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1245494665 | Jeffrey A Wool | Family Medicine | 1531 E 32nd St, Suite 1a, Joplin, MO 64804-2925 | 2008-07-15 |
| 1245407543 | Harry D Haas | Family Medicine | 16703 N Calico Rd, Versailles, MO 65084-6434 | 2008-05-15 |
| 1194902510 | Gary Hubert Campbell | Family Medicine | 21 Conway Springs Dr, Chesterfield, MO 63017-3411 | 2008-01-28 |
| 1568596336 | Mahrukh Khan | Family Medicine | 7491 Big Bend Blvd., St. Louis, MO 63119 | 2007-03-15 |
| 1669525275 | Stefan Scheidler | Family Medicine | 301 South Byp, Kennett, MO 63857-3252 | 2007-01-18 |
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| 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.