Provider Demographics
NPI:1598999328
Name:AUTONOMOUS CASE MANAGEMENT OF ST LOUIS
Entity Type:Organization
Organization Name:AUTONOMOUS CASE MANAGEMENT OF ST LOUIS
Other - Org Name:ACM CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-293-0697
Mailing Address - Street 1:483 S KIRKWOOD RD # 221
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6119
Mailing Address - Country:US
Mailing Address - Phone:314-293-0697
Mailing Address - Fax:
Practice Address - Street 1:11906 MANCHESTER RD STE 110
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-4504
Practice Address - Country:US
Practice Address - Phone:314-293-0697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management