Healthcare Provider Details

I. General information

NPI: 1508995796
Provider Name (Legal Business Name): ARCH MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 JEFFERSON ST SUITE 120
WASHINGTON MO
63090-6449
US

IV. Provider business mailing address

1351 JEFFERSON ST SUITE 120
WASHINGTON MO
63090-6449
US

V. Phone/Fax

Practice location:
  • Phone: 636-390-4114
  • Fax: 636-390-8685
Mailing address:
  • Phone: 636-390-4114
  • Fax: 636-390-8685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEONARD A WHITE JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 636-390-4114