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Contact Information

MAGDALA FOUNDATION
3148 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO63139-1118
 Phone: 314-571-9950
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for MAGDALA FOUNDATION

NPI Number 1962576033
LBN Legal business name MAGDALA FOUNDATION
Authorized official THOMAS MANGOGNA - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 07/11/2024 - More than a year ago
Identifiers
MO License # 2452, 1460-7235
MO License # 2452-10039
MO License # 2452-10040
MO License # 2452-10041
MO License # 2452-10042
MO Medicaid 112182605
MO Medicaid 112182704
MO Medicaid 112364401
MO Medicaid 112364500
MO Medicaid 852098805
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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