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Contact Information

PROVIDENT
3675 W OUTER RD STE 203
ARNOLD, MO63010-5232
 Phone: 314-898-0102
 Fax: 636-296-3249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for PROVIDENT

NPI Number 1104924745
LBN Legal business name PROVIDENT
Authorized official MARIA WATKINS - (COUNSELOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # 2002014019
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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