| Visionary Vaccination & Health Services | |
|
2757 Plaza Way Saint Charles MO 63303-3533 | |
| (636) 493-0219 | |
| Not Available |
| Full Name | Visionary Vaccination & Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2757 Plaza Way, Saint Charles, Missouri |
| Authorized Official Name and Position | Kevin A Huss (DIRECTOR OF OPERATIOINS) |
| Authorized Official Contact | 6364930219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visionary Vaccination & Health Services 2757 Plaza Way Saint Charles MO 63303-3533 Ph: (636) 493-0219 | Visionary Vaccination & Health Services 2757 Plaza Way Saint Charles MO 63303-3533 Ph: (636) 493-0219 |
| NPI Number | 1174191605 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 07/23/2021 |
| Medicare PECOS PAC ID | 5698172112 |
|---|---|
| Medicare Enrollment ID | O20210927002174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174191605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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