Organization
AHCMO 1 LLC
Active
Other names
Trina Health of Missouri
Organization subpart
No
Provider details
NPI number
Authorized official
MARK POUND (OWNER)
(707) 307-3401
Entity
Organization
Contact information
Practice address
1585 WOODLAKE DR, 104, CHESTERFIELD, MO 63017-5740
(707) 330-7340
Mailing address
1585 WOODLAKE DR, 104, CHESTERFIELD, MO 63017-5740
(707) 307-3401
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
MO
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MO
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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