1407942527 NPI number — CENTER FOR HEARING & SPEECH

Table of content: (NPI 1407942527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407942527 NPI number — CENTER FOR HEARING & SPEECH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTER FOR HEARING & SPEECH
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:
1407942527
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9835 MANCHESTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63119-1243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-968-4710
Provider Business Mailing Address Fax Number:
314-968-4762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9835 MANCHESTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63119-1243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-968-4710
Provider Business Practice Location Address Fax Number:
314-968-4762
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
314-968-4710

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 34145 . This is a "GHP CMR" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 19942 . This is a "HEALTHCARE USA" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 114760 . This is a "HEALTHLINK" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 132402 . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 507446706 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 852846500 . This is a "MERCY CAREPLUS" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 32259 . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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