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Provident
Preferred Provider Organization in Arnold, Missouri
NPI 1316005473

Provident is a Preferred Provider Organization based in Arnold, MO. Provident practices in Arnold, MO. The NPI Number for Provident is 1316005473 and holds a License No. 002589 (Missouri).

The current practice location address for Provident is 3675 W Outer Rd, Arnold, MO and can be reached out via phone at 314-898-0102 and via fax at 636-296-3249.

Location: 3675 W Outer Rd, Arnold, MO, 63010-5232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316005473
Provider Name
Provident
Credential
Provider Entity Type
Organization
Address
3675 W Outer Rd, Arnold, MO, 63010-5232
Phone Number
314-898-0102
Fax Number
636-296-3249
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
496768326 05 MO
institution
Provider Business Practice Location Address Details
Address
3675 W Outer Rd
City
Arnold
State
Missouri
Zip
63010-5232
Phone Number
314-898-0102
Fax Number
636-296-3249
person
Provider Business Mailing Address Details
Address
3675 W Outer Rd
City
Arnold
State
Missouri
Zip
63010-5232
Phone Number
314-898-0102
Fax Number
636-296-3249
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
SW002589 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
002589 (Missouri)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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