Augusta

LBN: Magdala Foundation
Augusta is an health care organization with primary practice located at 7400 Augusta Ave , Saint Louis MO 63121-4802. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Magdala Foundation can be contacted via phone (314) 652-6004, or through Meyer, David John via phone (314) 652-6004.

Contact Information

Primary practice address
7400 Augusta Ave Saint Louis MO 63121-4802
Phone: (314) 652-6004
Fax: (314) 652-8351
Website:
Map and Directions
Authorized official contact:
Name: Meyer, David John
Phone: (314) 652-6004

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2452 10039 Missouri

Profile Details

NPI number 1619135985
LBN Legal business name Magdala Foundation
DBA Doing business as Augusta
Authorized official Meyer, David John
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2008
Last updated May 23rd, 2008 - about 16 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 1619135985 NPPES
Missouri MEDICAID 112182704

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