| Qual-t-med, Inc | |
|
1501 Hampton Ave Saint Louis MO 63139-3038 | |
| (314) 422-7791 | |
| Not Available |
| Full Name | Qual-t-med, Inc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1501 Hampton Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Ray William Burmeister (PRESIDENT) |
| Authorized Official Contact | 3148496611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qual-t-med, Inc 43 Quail Woods Dr Fenton MO 63026-3444 Ph: (314) 422-7791 | Qual-t-med, Inc 1501 Hampton Ave Saint Louis MO 63139-3038 Ph: (314) 422-7791 |
| NPI Number | 1174742753 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174742753 | NPI | - | NPPES |
| 290006733 | Other | MO | RAILROAD MEDICARE |
| 07310 | Other | GENCARE | |
| 1017503 | Other | MO | CARE PARTNERS |
| 17745 | Other | ANTHEM | |
| 100134 | Other | HEALTHLINK | |
| 200387736 | Medicaid | MO | |
| 92000 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25858 (Missouri) | Primary |
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