Provider Demographics
NPI:1508995796
Name:ARCH MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:ARCH MEDICAL SERVICES, INC.
Other - Org Name:THE CENTER FOR CANCER CARE AND RESEARCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:636-390-4114
Mailing Address - Street 1:1351 JEFFERSON ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-6449
Mailing Address - Country:US
Mailing Address - Phone:636-390-4114
Mailing Address - Fax:636-390-8685
Practice Address - Street 1:1351 JEFFERSON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-6449
Practice Address - Country:US
Practice Address - Phone:636-390-4114
Practice Address - Fax:636-390-8685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOCJ2770Medicare PIN