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Contact Information

MAXIM HEALTHCARE SERVICES, INC.
1801 PARK 270 DR STE 550
SAINT LOUIS, MO63146-4016
 Phone: 314-569-3836
 Fax: 314-569-3305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for MAXIM HEALTHCARE SERVICES, INC.

NPI # 1346416492
LBN Legal business name MAXIM HEALTHCARE SERVICES, INC.
Authorized official DAVID KOWALCZYK - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2008
Last updated 05/11/2023 - About 3 years ago
Identifiers
MO Medicaid 268103603
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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