| Salvation Army | |
|
2900 Washington Ave Saint Louis MO 63103-1306 | |
| (314) 898-1700 | |
| (314) 814-8542 |
| Full Name | Salvation Army |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Washington Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Corinthia Darcel Jamison (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3148148531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salvation Army Po Box 551 Saint Louis MO 63188-0551 Ph: (314) 898-1700 | Salvation Army 2900 Washington Ave Saint Louis MO 63103-1306 Ph: (314) 898-1700 |
| NPI Number | 1003392697 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 09/27/2021 |
| Medicare PECOS PAC ID | 1052386919 |
|---|---|
| Medicare Enrollment ID | O20220927002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003392697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |