Provider Demographics
NPI:1649490574
Name:CONTEMPORARY HEALTHCARE CONSULTING INC
Entity type:Organization
Organization Name:CONTEMPORARY HEALTHCARE CONSULTING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TRETIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-843-3668
Mailing Address - Street 1:10400 GOLD DUST AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2821
Mailing Address - Country:US
Mailing Address - Phone:314-989-9770
Mailing Address - Fax:
Practice Address - Street 1:5416 SOUTHFIELD CTR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-5907
Practice Address - Country:US
Practice Address - Phone:314-843-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5222750001335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO5222750001Medicare NSC