| Safe Kids | |
|
219 Creekside Office Dr Wentzville MO 63385-3290 | |
| (636) 357-0136 | |
| (866) 272-2483 |
| Full Name | Safe Kids |
|---|---|
| Speciality | Clinic/Center |
| Location | 219 Creekside Office Dr, Wentzville, Missouri |
| Authorized Official Name and Position | Ursula W Marsh (OWNER) |
| Authorized Official Contact | 6363570136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Kids 7 Country Road Foristell MO 63348-0186 Ph: (636) 357-0136 | Safe Kids 219 Creekside Office Dr Wentzville MO 63385-3290 Ph: (636) 357-0136 |
| NPI Number | 1649503772 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 05/18/2015 |
| Medicare PECOS PAC ID | 2264576586 |
|---|---|
| Medicare Enrollment ID | O20100224000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649503772 | NPI | - | NPPES |
| 1114164977 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 2007036957 (Missouri) | Primary |
| Provider Name | Ursula W Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114164977 PECOS PAC ID: 7810031127 Enrollment ID: I20100224000218 |
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