GIBSON WHITE DRAKE LLC NPI 1043812548

NPI Information

NPI: 1043812548
Provider Name: GIBSON WHITE DRAKE LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
11423 SAINT CHARLES ROCK RD
BRIDGETON, MO
ZIP 63044
Phone: (314) 246-9852
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GIBSON WHITE DRAKE LLC is a health service clinic center in Bridgeton, MO. GIBSON WHITE DRAKE LLC NPI is 1043812548. The provider is registered as an organization entity type.

The provider's business location address is:

11423 SAINT CHARLES ROCK RD
BRIDGETON, MO
ZIP 63044-724
Phone: (314) 246-9852

The provider's authorized official is Vernisia White .
The authorized official title is Owner and has the following contact phone number (314) 246-9852.

The enumeration date for this NPI number is 11/10/2020 and was last updated on 11/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health				No
2	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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