| Jennings Medical Center Inc | |
|
6917 W Florissant Ave Saint Louis MO 63136-3638 | |
| (314) 383-1100 | |
| (314) 383-4929 |
| Full Name | Jennings Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6917 W Florissant Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Nargis J Ahmad (OFFICE MANAGER) |
| Authorized Official Contact | 3143831100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennings Medical Center Inc 6917 W Florissant Ave Saint Louis MO 63136-3638 Ph: (314) 383-1100 | Jennings Medical Center Inc 6917 W Florissant Ave Saint Louis MO 63136-3638 Ph: (314) 383-1100 |
| NPI Number | 1770579195 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012032147 |
|---|---|
| Medicare Enrollment ID | O20100914000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770579195 | NPI | - | NPPES |
| Provider Name | Aqeeb Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518953413 PECOS PAC ID: 2365567492 Enrollment ID: I20100914000219 |
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