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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