NPI 1225458953

Advantica Administrative Services, INC.

Organisation Preferred Provider Organization Saint Louis, MO

Practice location

Address: 12399 Gravois Rd 2nd Floor, Saint Louis, MO 63127-1750
Phone: (314) 543-4900

Authorised official

Name: Barbara C. Bentrup
Title: Chief Financial Officer
Phone: (314) 656-2720

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1225458953
Entity type: Organization
NPI issued: 21 Apr 2014
Record last updated: 22 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.