Provider Demographics
NPI:1629004106
Name:ASSOCIATED REHABILITATION SERVICES, INC.
Entity Type:Organization
Organization Name:ASSOCIATED REHABILITATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DULLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-506-8800
Mailing Address - Street 1:8860 LADUE ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-2068
Mailing Address - Country:US
Mailing Address - Phone:314-506-8805
Mailing Address - Fax:314-506-8870
Practice Address - Street 1:605 COEUR DE VILLE DR
Practice Address - Street 2:PARC PROVENCE - REHAB DEPARTMENT
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6603
Practice Address - Country:US
Practice Address - Phone:314-453-7311
Practice Address - Fax:314-548-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO571771302Medicaid
MO266518Medicare Oscar/Certification