MEDICARE: RESPONSE TO CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1750089470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPONSE TO CARE

Provider Business Mailing Address
First Line	:	4018 DARBY ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63120-1422
Country	:	US
Telephone Number	:	561-654-7504
Fax Number	:

Provider Business Practice Location Address
First Line	:	4018 DARBY ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63120-1422
Country	:	US
Telephone Number	:	561-654-7504
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	D'ERRA INGRAM
Credential	:
Telephone Number	:	561-654-7504

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	04/08/2023

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Directions to “RESPONSE TO CARE ” Practice Location

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