St. Louis Arc

LBN: St. Louis Arc
St. Louis Arc is an health care organization with primary practice located at 714 Carriage Ln , Hazelwood MO 63042-3452. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. St. Louis Arc can be contacted via phone (314) 817-2207, or through Tisone, Kathleen Anne via phone (314) 817-2207.

Contact Information

Primary practice address
714 Carriage Ln Hazelwood MO 63042-3452
Phone: (314) 817-2207
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tisone, Kathleen Anne
Phone: (314) 817-2207

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 103091 Missouri

Profile Details

NPI number 1669658910
LBN Legal business name St. Louis Arc
DBA Doing business as
Authorized official Tisone, Kathleen Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Jun 12th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669658910 NPPES
Missouri MEDICAID 852998301

Popular Providers