| Howard Park Early Intervention Center | |
|
1078 Headquarters Park Dr. Fenton MO 63026-1910 | |
| (636) 405-2701 | |
| (636) 422-1223 |
| Full Name | Howard Park Early Intervention Center |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 1078 Headquarters Park Dr., Fenton, Missouri |
| Authorized Official Name and Position | Sheila Charlton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6364052701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Park Early Intervention Center 1078 Headquarters Park Dr. Fenton MO 63026-1910 Ph: (636) 405-2701 | Howard Park Early Intervention Center 1078 Headquarters Park Dr. Fenton MO 63026-1910 Ph: (636) 405-2701 |
| NPI Number | 1396739124 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 05/23/2024 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396739124 | NPI | - | NPPES |
| 404413 | Other | MO | ANTHEM BLUE CROSS |
| 151235 | Other | MO | BLUE CROSS OF MISSOURI |
| 526870 | Other | MO | HEALTHLINK |
| 618306 | Other | ANTHEM BLUE CROSS | |
| 37482 | Other | MO | HEALTHCARE USA |
| 50373506 | Medicaid | MO | |
| 5859240001 | Other | MO | MEDICARE PTAN |
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