1386635910 NPI number — FRIENDSHIP VILLAGE OF WEST COUNTY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386635910 NPI number — FRIENDSHIP VILLAGE OF WEST COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRIENDSHIP VILLAGE OF WEST COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386635910
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15250 VILLAGE VIEW DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESTERFIELD
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63017-1810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-532-1515
Provider Business Mailing Address Fax Number:
636-733-0139

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15250 VILLAGE VIEW DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESTERFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63017-1810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-532-1515
Provider Business Practice Location Address Fax Number:
636-733-0139
Provider Enumeration Date:
11/02/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHAMPION
Authorized Official First Name:
SUE
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICER
Authorized Official Telephone Number:
314-270-7810

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  031648 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 101486603 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 031648 . This is a "STATE LICENSE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".