DUTCHTOWN CARE CENTER INC
Skilled Nursing Facility
Saint Louis, Missouri
Provider NPI: 1790789204
Organization Information:Organization Name: DUTCHTOWN CARE CENTER INC
Practice Location:
3421 GASCONADE ST SAINT LOUIS, MO 63118 US
Tel: 314-832-4700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3421 GASCONADE ST SAINT LOUIS, MO 63118 US
Tel: 314-832-4700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MO | 030951 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 113207 | MO | 01 |
UNITED HEALTHCARE | 7184988 | MO | 01 |
108598707 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin