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GOOD SHEPHERD SCHOOL FOR CHILDREN NPI 1730225590


NPI Information

NPI: 1730225590
Provider Name: GOOD SHEPHERD SCHOOL FOR CHILDREN

Other Name: GOOD SHEPHERD PEDIATRIC THERAPY SERVICES

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1170 TIMBER RUN DR
SAINT LOUIS, MO
ZIP 63146
Phone: (314) 469-0606
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GOOD SHEPHERD SCHOOL FOR CHILDREN is a developmental disabilities clinic center in Saint Louis, MO. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). GOOD SHEPHERD SCHOOL FOR CHILDREN NPI is 1730225590. The provider is registered as an organization entity type.
The provider Other Name Is Good Shepherd Pediatric Therapy Services.

The provider's business location address is:

1170 TIMBER RUN DR
SAINT LOUIS, MO
ZIP 63146-482
Phone: (314) 469-0606
Fax: (314) 469-3294

The provider's authorized official is Elizabeth A. Rose .
The authorized official title is Executive Director and has the following contact phone number (314) 469-0606.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/Orthotic SupplierNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1131233OTHERMISSOURIBLUE CROSS BLUE SHIELD
2507419703MEDICAIDMISSOURI
339420OTHERMISSOURICARE MANAGEMENT RESOURCES
439420OTHERMISSOURIGROUP HEALTH PLAN
5=========OTHERMISSOURITRICARE
639420OTHERMISSOURICARPENTERS HEALTH AND WEL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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