| Missouri Baptist Medical Center | |
|
3015 N Ballas Rd Saint Louis MO 63131-2329 | |
| (314) 996-5000 | |
| (314) 996-3610 |
| Full Name | Missouri Baptist Medical Center |
|---|---|
| Speciality | Physician Assistant |
| Location | 3015 N Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Ann Abad (PRESIDENT) |
| Authorized Official Contact | 3149968401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Baptist Medical Center 3015 N Ballas Rd Saint Louis MO 63131-2329 Ph: (314) 996-5000 | Missouri Baptist Medical Center 3015 N Ballas Rd Saint Louis MO 63131-2329 Ph: (314) 996-5000 |
| NPI Number | 1558370528 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 3476461955 |
|---|---|
| Medicare Enrollment ID | O20050720000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558370528 | NPI | - | NPPES |
| 010419307 | Medicaid | MO | |
| 109 | Other | BLUE CROSS | |
| 6350715 | Other | AETNA PPO | |
| 103189 | Other | HEALTHLINK | |
| 0536913 | Other | AETNA HMO | |
| 5000192 | Other | UNITED HEALTHCARE |
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