Independence Center

LBN: Independence Center
Independence Center is an health care organization with primary practice located at 4245 Forest Park Ave , Saint Louis MO 63108-2810. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Independence Center can be contacted via phone (314) 880-5415, or through Holmes, Patricia via phone (314) 880-5415.

Contact Information

Primary practice address
4245 Forest Park Ave Saint Louis MO 63108-2810
Fax: (314) 880-5468
Website:
Authorized official contact:
Name: Holmes, Patricia

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1760839260
LBN Legal business name Independence Center
DBA Doing business as
Authorized official Holmes, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2016
Last updated Jun 27th, 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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