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Organization
MISSOURI CARE, INC.
Active
Organization
MISSOURI CARE, INC.
Active
Other names
Healthy Blue
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DAVIS AO (STATE PLAN PRESIDENT)
(573) 271-0332
Entity
Organization
Contact information
Practice address
1831 CHESTNUT ST, SAINT LOUIS, MO 63103-2236
(417) 848-5605
Mailing address
1831 CHESTNUT ST, SAINT LOUIS, MO 63103-2236
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
09/09/2021
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