| Bev Fingerhood, Ltd | |
|
2127 Bluestone Dr Suite 203 Saint Charles MO 63303-6709 | |
| (636) 916-5575 | |
| (636) 916-0387 |
| Full Name | Bev Fingerhood, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 2127 Bluestone Dr, Saint Charles, Missouri |
| Authorized Official Name and Position | Bev Fingerhood (CORPORATION PRESIDENT) |
| Authorized Official Contact | 6369165575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bev Fingerhood, Ltd 2127 Bluestone Dr Suite 203 Saint Charles MO 63303-6709 Ph: (636) 916-5575 | Bev Fingerhood, Ltd 2127 Bluestone Dr Suite 203 Saint Charles MO 63303-6709 Ph: (636) 916-5575 |
| NPI Number | 1558630053 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Medicare PECOS PAC ID | 2163682253 |
|---|---|
| Medicare Enrollment ID | O20120327000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558630053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD100875 (Missouri) | Primary |
| Provider Name | Bev J Fingerhood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952403487 PECOS PAC ID: 5890955991 Enrollment ID: I20120328000057 |
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