National Provider Identifier Database

PROVIDENT
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PROVIDENT
3675 W OUTER RD
203
ARNOLD, MO63010-5232
Phone: 314-898-0102
Fax: 636-296-3249
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENT

NPI Number 1316005473
Legal business name
LBN
PROVIDENT
Authorized official KRISTIN BULIN - (DIRECTOR OF COUNSELING DIVISION)
Entity Organization
Organization subpart No
Enumeration date 12/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 002589
  • MO License #: SW002589
  • MO Medicaid: 496768326

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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