Provider Demographics
NPI:1184898272
Name:THE SALVATION ARMY MIDLAND DIVISION
Entity type:Organization
Organization Name:THE SALVATION ARMY MIDLAND DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISIONAL COMMANDER
Authorized Official - Prefix:
Authorized Official - First Name:LONNEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON, MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-646-3000
Mailing Address - Street 1:1130 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-3147
Mailing Address - Country:US
Mailing Address - Phone:314-646-3000
Mailing Address - Fax:314-646-3201
Practice Address - Street 1:3010 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-1335
Practice Address - Country:US
Practice Address - Phone:314-652-1310
Practice Address - Fax:314-286-3230
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SALVATION ARMY CENTRAL TERRITORY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable