Provider Demographics
NPI:1619348067
Name:EMEREST HEALTH CDS OF MISSOURI
Entity Type:Organization
Organization Name:EMEREST HEALTH CDS OF MISSOURI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YANKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-279-4700
Mailing Address - Street 1:731 HYDE DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-7571
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9270 OLIVE BLVD
Practice Address - Street 2:
Practice Address - City:OLIVETTE
Practice Address - State:MO
Practice Address - Zip Code:63132-3204
Practice Address - Country:US
Practice Address - Phone:314-279-4700
Practice Address - Fax:314-279-4702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty