Provider Demographics
NPI:1013296995
Name:CENTENE MANAGEMENT COMPANY LLC
Entity type:Organization
Organization Name:CENTENE MANAGEMENT COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:SCHEFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-725-4477
Mailing Address - Street 1:7700 FORSYTH BLVD.
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-1837
Mailing Address - Country:US
Mailing Address - Phone:314-725-4477
Mailing Address - Fax:
Practice Address - Street 1:7700 FORSYTH BLVD.
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-1837
Practice Address - Country:US
Practice Address - Phone:314-725-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTENE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization