| Bridging The Gap Community Health Care Clinic L.l.c. | |
|
1120 S 6th St Ste 110 Saint Louis MO 63104-3602 | |
| (573) 723-6023 | |
| (573) 273-3442 |
| Full Name | Bridging The Gap Community Health Care Clinic L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 S 6th St Ste 110, Saint Louis, Missouri |
| Authorized Official Name and Position | Tabatha Robinson (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 3142263105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging The Gap Community Health Care Clinic L.l.c. 1120 S 6th St Ste 110 Saint Louis MO 63104-3602 Ph: (573) 723-6023 | Bridging The Gap Community Health Care Clinic L.l.c. 1120 S 6th St Ste 110 Saint Louis MO 63104-3602 Ph: (573) 723-6023 |
| NPI Number | 1740042480 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 06/01/2024 |
| Medicare PECOS PAC ID | 9638510241 |
|---|---|
| Medicare Enrollment ID | O20240514002974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740042480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tabatha Ladoris Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164193041 PECOS PAC ID: 1850754045 Enrollment ID: I20230906001831 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Affinia Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |