Provider Demographics
NPI:1982634358
Name:VISITING NURSE ASSOCIATION OF GREATER ST. LOUIS
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF GREATER ST. LOUIS
Other - Org Name:A DIVISION OF VISITING NURSE ASSOCIATION OF GREATER ST LOUIS
Other - Org Type:Other Name
Authorized Official - Title/Position:REGIONAL VICE PRESIDENT, FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-260-3567
Mailing Address - Street 1:2029 WOODLAND PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4267
Mailing Address - Country:US
Mailing Address - Phone:314-918-7171
Mailing Address - Fax:314-513-9950
Practice Address - Street 1:2029 WOODLAND PKWY STE 105
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4267
Practice Address - Country:US
Practice Address - Phone:314-918-7171
Practice Address - Fax:314-513-9950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SSM HEALTH BUSINESSES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-03
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO600002107Medicare ID - Type UnspecifiedRAILROAD
IL368680Medicare ID - Type Unspecified
MO000045044Medicare ID - Type Unspecified