Myrtle Hilliard Davis Comprehensive

LBN: Carestl Health #1
Myrtle Hilliard Davis Comprehensive is an health care organization with primary practice located at 5471 Dr Martin Luther King Dr , Saint Louis MO 63112-4265. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Clinic Pharmacy is the primary health care specialty. Carestl Health #1 can be contacted via phone (314) 367-5820, or through Clabon, Angela Renee via phone (314) 367-5820.

Contact Information

Primary practice address
5471 Dr Martin Luther King Dr Saint Louis MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 454-3979
Website:
Map and Directions
Authorized official contact:
Name: Clabon, Angela Renee
Phone: (314) 367-5820

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 002938 Missouri
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1972653202
LBN Legal business name Carestl Health #1
DBA Doing business as Myrtle Hilliard Davis Comprehensive
Authorized official Clabon, Angela Renee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 31st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972653202 NPPES
Missouri MEDICAID 600622914
Missouri Other 2050332

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