Organization
PROVIDER PLUS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
7748 WATSON RD, SAINT LOUIS, MO 63119-5407
(314) 961-8500
(314) 963-6801
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MO
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623407509
—
MO
05
—
91633002
—
TX
Enumeration date
08/03/2005
Last updated
10/15/2025
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