| C Care LLC | |
|
224 S Woods Mill Rd Suite 550 South Tower Chesterfield MO 63017-3513 | |
| (314) 576-3638 | |
| (314) 576-3635 |
| Full Name | C Care LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 224 S Woods Mill Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Imran Chishti (OWNER) |
| Authorized Official Contact | 3145763638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Care LLC 224 S Woods Mill Rd Suite 550 South Tower Chesterfield MO 63017-3513 Ph: (314) 576-3638 | C Care LLC 224 S Woods Mill Rd Suite 550 South Tower Chesterfield MO 63017-3513 Ph: (314) 576-3638 |
| NPI Number | 1811344328 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 05/16/2016 |
| Medicare PECOS PAC ID | 6002191665 |
|---|---|
| Medicare Enrollment ID | O20170322000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811344328 | NPI | - | NPPES |
| 1740220557 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 2000146081 (Missouri) | Primary |
| Provider Name | Imran I Chishti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740220557 PECOS PAC ID: 4688640071 Enrollment ID: I20040908000028 |
| Provider Name | Eyerusalem Beyene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487584231 PECOS PAC ID: 0345711461 Enrollment ID: I20260609002216 |
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