Healthcare Provider Details

I. General information

NPI: 1235294109
Provider Name (Legal Business Name): FIRST CALL TEAM CORPORATE HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 DOUGHERTY FERRY RD. SUITE 102
ST. LOUIS MO
63122-3372
US

IV. Provider business mailing address

2705 DOUGHERTY FERRY RD. SUITE 102
ST. LOUIS MO
63122-3372
US

V. Phone/Fax

Practice location:
  • Phone: 314-965-0116
  • Fax: 314-775-0551
Mailing address:
  • Phone: 314-965-0116
  • Fax: 314-775-0551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. DAVID NATIONS JR.
Title or Position: DIRECTOR
Credential:
Phone: 314-965-0116