St. Louis Arc
LBN: St. Louis Arc
St. Louis Arc is an health care organization with primary practice located at 1816 Lackland Hill Pkwy 1202 Dautel Lane, Saint Louis MO 63146-3507. 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) 569-2211, or through Tisone, Kathleen Anne via phone (314) 569-2211.
Contact Information
Primary practice address
1816 Lackland Hill Pkwy 1202 Dautel Lane
Saint Louis MO 63146-3507
Phone: (314) 569-2211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 103091 | Missouri |
Profile Details
| NPI number | 1922284272 |
|---|---|
| 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 | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922284272 | NPPES |
| Missouri | MEDICAID | 856162102 |
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