| Carestl Health | |
|
5541 Riverview Blvd St Louis MO 63120-2443 | |
| (314) 389-4566 | |
| (314) 385-7859 |
| Full Name | Carestl Health |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5541 Riverview Blvd, St Louis, Missouri |
| Authorized Official Name and Position | Angela Renee Clabon (CEO) |
| Authorized Official Contact | 3143675820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carestl Health 5471 Dr Martin Luther King Dr St Louis MO 63112-4265 Ph: (314) 367-5820 | Carestl Health 5541 Riverview Blvd St Louis MO 63120-2443 Ph: (314) 389-4566 |
| NPI Number | 1124231477 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124231477 | NPI | - | NPPES |
| 507433308 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 522 (Missouri) | Primary |
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