HOWARD PARK EARLY INTERVENTION CENTER; NPI #1396739124

Contact Information

HOWARD PARK EARLY INTERVENTION CENTER

1078 HEADQUARTERS PARK DR.
FENTON, MO 63026-1910

Phone: 636-405-2701
Fax: 636-422-1223
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]
Counselor	101Y00000X
Orthotics/Prosthetics Fitter	225000000X
Orthotist	222Z00000X	55	Individual Certified Orthotist
Pediatrics	2251P0200X	65	Physical Therapist in Private Practice
Pediatrics	225XP0200X	67	Occupational Therapist in Private Practice
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Speech-Language Pathologist	235Z00000X	15	Speech Language Pathologist

Indicates primary specialty

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NPI Profile & details for HOWARD PARK EARLY INTERVENTION CENTER

NPI # 1396739124

LBN Legal business name HOWARD PARK EARLY INTERVENTION CENTER

Authorized official SHEILA CHARLTON - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/08/2005

Last updated 05/23/2024 - About 2 years ago

Identifiers

MO	License #	369-8742
MO	Medicaid	50373506
	Other	618306	ANTHEM BLUE CROSS
MO	Other	404413	ANTHEM BLUE CROSS
MO	Other	151235	BLUE CROSS OF MISSOURI
MO	Other	37482	HEALTHCARE USA
MO	Other	526870	HEALTHLINK
MO	Other	5859240001	MEDICARE PTAN

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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HOWARD PARK EARLY INTERVENTION CENTER

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NPI Profile & details for HOWARD PARK EARLY INTERVENTION CENTER

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