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NPI Code Detail

MEDICARE: SUPPLEMENTAL MEDICAL SERVICES

MEDICARE: SUPPLEMENTAL MEDICAL SERVICES
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1855168407OTHERMOMRDD WAIVER DMH

General Provider Information

NPI Number : 1962544171
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPPLEMENTAL MEDICAL SERVICES
Provider Business Mailing Address
First Line : 10916 SCHUETZ RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-5704
Country : US
Telephone Number : 314-997-8833
Fax Number : 314-997-3115
Provider Business Practice Location Address
First Line : 10916 SCHUETZ RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-5704
Country : US
Telephone Number : 314-997-8833
Fax Number : 314-997-3115
Authorized Official
Title or Position : PRESIDENT
Name : GRETCHEN CURRY
Credential :
Telephone Number : 314-997-8833
Provider Enumeration Date : 02/13/2007
Last Update Date : 04/15/2019

Similar Medicare Providers

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Practice Location Address:
10922 SCHUETZ RD
SAINT LOUIS, MO
63146-5704
Practice Phone: 314-301-8601
Practice Fax:
1356294946 — DR. COLETTE MCLEMORE DIXON
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Practice Phone: 314-612-4827
Practice Fax:
1407707482 — JENNIFER F WADE
Practice Location Address:
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Practice Fax:
1952392359 — SUPPLEMENTAL MEDICAL SERVICES
Practice Location Address:
10916 SCHUETZ RD
SAINT LOUIS, MO
63146-5704
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Practice Fax: 314-997-3115
1114099595 — JEWISH FAMILY SERVICES OF ST. LOUIS
Practice Location Address:
10950 SCHUETZ RD
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63146-5704
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Practice Fax:
1437291754 — SUPPLEMENTAL MEDICAL SERVICES
Practice Location Address:
10916 SCHUETZ RD
SAINT LOUIS, MO
63146-5704
Practice Phone: 314-997-8833
Practice Fax: 314-997-3115

Directions to “SUPPLEMENTAL MEDICAL SERVICES ” Practice Location

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