Newstead Place

LBN: Independence Center
Newstead Place is an health care organization with primary practice located at 19 N Newstead Ave , Saint Louis MO 63108-2260. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Independence Center can be contacted via phone (314) 286-4510, or through Holmes, Patricia via phone (314) 880-5415.

Contact Information

Primary practice address
19 N Newstead Ave Saint Louis MO 63108-2260
Phone: (314) 286-4510
Fax: (314) 286-4565
Website:
Map and Directions
Authorized official contact:
Name: Holmes, Patricia
Phone: (314) 880-5415

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 033539 Missouri

Profile Details

NPI number 1780720680
LBN Legal business name Independence Center
DBA Doing business as Newstead Place
Authorized official Holmes, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Jun 27th, 2022 - about 3 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 1780720680 NPPES
Missouri MEDICAID 267827400

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