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NPI Code Detail

MEDICARE: JPAM MANAGEMENT & CONSULTING INC

MEDICARE: JPAM MANAGEMENT & 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
1314000000XSkilled Nursing Facility

Other Identifiers

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

General Provider Information

NPI Number : 1942450879
Entity Type Code : Organization
Provider Name (Legal Business Name) : JPAM MANAGEMENT & CONSULTING INC
Provider Business Mailing Address
First Line : 12844 BIG BEND RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-5104
Country : US
Telephone Number : 314-374-7419
Fax Number :
Provider Business Practice Location Address
First Line : 4359 TAFT AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-1533
Country : US
Telephone Number : 314-752-2022
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOHN BRENCICK
Credential :
Telephone Number : 314-374-7419
Provider Enumeration Date : 09/29/2008
Last Update Date : 08/14/2009

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Directions to “JPAM MANAGEMENT & CONSULTING INC ” Practice Location

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