WILKERSON HEALTH CARE NPI 1902959133

NPI Information

NPI: 1902959133
Provider Name: WILKERSON HEALTH CARE
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1770 GRAVOIS RD
HIGH RIDGE, MO
ZIP 63049
Phone: (636) 677-7759
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WILKERSON HEALTH CARE is a public health or welfare in High Ridge, MO. WILKERSON HEALTH CARE NPI is 1902959133. The provider is registered as an organization entity type.

The provider's business location address is:

1770 GRAVOIS RD
HIGH RIDGE, MO
ZIP 63049-625
Phone: (636) 677-7759

The provider's authorized official is Erin K Bruce .
The authorized official title is Ceo/owner and has the following contact phone number (636) 677-7759.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/1/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253Z00000X	In Home Supportive Care				No
2	251K00000X	Public Health or Welfare		0003794	MISSOURI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1689709164	MEDICAID	MISSOURI
2	289790206	MEDICAID	MISSOURI
3	1902959133	MEDICAID	MISSOURI
4	269790200	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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