MEDICARE: CONTEMPORARY HEALTHCARE CONSULTING INC

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	335E00000X	Prosthetic/Orthotic Supplier	5222750001	MO

General Provider Information

NPI Number	:	1649490574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTEMPORARY HEALTHCARE CONSULTING INC

Provider Business Mailing Address
First Line	:	10400 GOLD DUST AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2821
Country	:	US
Telephone Number	:	314-989-9770
Fax Number	:

Provider Business Practice Location Address
First Line	:	5416 SOUTHFIELD CTR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-5907
Country	:	US
Telephone Number	:	314-843-3668
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT TRETIAK
Credential	:
Telephone Number	:	314-843-3668

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/22/2020

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