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NPI Code Detail

MEDICARE: ALEXIAN BROTHERS LANSDOWNE VILLAGE

MEDICARE: ALEXIAN BROTHERS LANSDOWNE VILLAGE
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
1313M00000XNursing Facility/Intermediate Care Facility030896MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609974013
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXIAN BROTHERS LANSDOWNE VILLAGE
Provider Business Mailing Address
First Line : 4624 LANSDOWNE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-1523
Country : US
Telephone Number : 314-351-6888
Fax Number : 314-351-5825
Provider Business Practice Location Address
First Line : 4624 LANSDOWNE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-1523
Country : US
Telephone Number : 314-351-6888
Fax Number : 314-351-5825
Authorized Official
Title or Position : DIRECTOR OF ACCOUNTS RECEIVABLE
Name : MR. TIMOTHY M SEELBACH
Credential :
Telephone Number : 314-880-8938
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/17/2012

Similar Medicare Providers

1518434356 — ELIZABETH VICTORIA ROHDE OTR/L
Practice Location Address:
4624 LANSDOWNE AVE
SAINT LOUIS, MO
63116-1523
Practice Phone: 314-351-6888
Practice Fax:
1376161463 — SARAH BALDRIDGE
Practice Location Address:
4624 LANSDOWNE AVE
SAINT LOUIS, MO
63116-1523
Practice Phone: 314-351-6888
Practice Fax:
1184231748 — LANSDOWNE HEALTHCARE, LLC
Practice Location Address:
4624 LANSDOWNE AVE
SAINT LOUIS, MO
63116-1523
Practice Phone: 314-631-3000
Practice Fax:
1750982088 — MADELINE DELAY GIFFORD PTA
Practice Location Address:
4624 LANSDOWNE AVE
SAINT LOUIS, MO
63116-1523
Practice Phone: 314-351-6888
Practice Fax:
1669128138 — UNITED ADULT DAY CENTER
Practice Location Address:
4670 LANSDOWNE AVE
SAINT LOUIS, MO
63116-1523
Practice Phone: 314-919-5214
Practice Fax:
1780467159 — JORDAN CHRISTINE FERRARA M.S., CCC-SLP
Practice Location Address:
4624 LANSDOWNE AVE
SAINT LOUIS, MO
63116-1523
Practice Phone: 314-351-6888
Practice Fax:

Directions to “ALEXIAN BROTHERS LANSDOWNE VILLAGE ” Practice Location

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