NPI 1336316777

City of St. Louis Department of Health

Organisation Public Health or Welfare Agency Saint Louis, MO

Practice location

Address: 634 N Grand Blvd Suite 500, Saint Louis, MO 63103-1002
Phone: (314) 612-5056
Fax: (314) 612-5458

Authorised official

Name: Elmer Melton Otey
Title: Program Manager
Phone: (314) 612-5056

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 510400708 (MO)

Other Public Health or Welfare providers in Missouri →

Registry record

NPI: 1336316777
Entity type: Organization
NPI issued: 14 May 2008
Record last updated: 14 May 2008

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.