Provider Demographics
NPI:1952585978
Name:MBCH CHILDREN AND FAMILY MINISTRIES
Entity Type:Organization
Organization Name:MBCH CHILDREN AND FAMILY MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CFP
Authorized Official - Phone:314-739-6811
Mailing Address - Street 1:11300 SAINT CHARLES ROCK ROAD
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044
Mailing Address - Country:US
Mailing Address - Phone:314-739-6811
Mailing Address - Fax:314-739-6325
Practice Address - Street 1:20509 S. STATE RTE J
Practice Address - Street 2:
Practice Address - City:PECULIAR
Practice Address - State:MO
Practice Address - Zip Code:64078
Practice Address - Country:US
Practice Address - Phone:816-779-4349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSOURI BAPTIST CHILDREN'S HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable