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Contact Information

INTEGRATED SENIOR CARE PC
12395 OLIVE BLVD STE 200
SAINT LOUIS, MO63141-5465
 Phone: 636-233-7249
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Case Manager/Care Coordinator

171M00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for INTEGRATED SENIOR CARE PC

NPI Number 1891689790
LBN Legal business name INTEGRATED SENIOR CARE PC
Authorized official JOSEPH MITCHELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2025
Last updated 06/05/2025 - About 12 months ago
Identifiers n/a
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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