Organization
KIRWOOD MEDICATION ASSISTED TREATMENTS
Active
Parent organization
DR GARY HAMMEN MD PHD LLC
Other names
Kirkwood Medication Assisted Treatments
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR GARY HAMMEN MD PHD LLC
Authorized official
DR. GARY HAMMEN MD PHD (MEMBER)
(314) 644-8310
Entity
Organization
Contact information
Practice address
111 PROSPECT AVE STE 201, KIRKWOOD, MO 63122-6052
(314) 644-8310
(314) 293-6749
Mailing address
111 PROSPECT AVE STE 201, KIRKWOOD, MO 63122-6052
(314) 644-8310
(314) 293-6749
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
05/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us