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Organization

JMH DIVISIFIED HEALTHCARE

Active
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Organization

JMH DIVISIFIED HEALTHCARE

Active
Other names
JMH AMBULANCE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS PATRICK HALLEY MSA (ADMINISTRATOR)
(636) 933-1178
Entity
Organization

Contact information

Practice address
1400 HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-5730
(636) 933-5301
Mailing address
PO BOX 279, FESTUS, MO 63028-0279
(636) 933-5730
(636) 933-5301

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
099121
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033804
CARE PARTNERS
MO
01
122373
BLUE CHOICE
MO
01
241762
HEALTHLINK
MO
01
3329921
HEALTH MARKET
MO
01
81 81285
MEDICARE COMPLETE
MO
01
8229
HEALTH CARE USA
MO
Enumeration date
07/14/2005
Last updated
08/22/2020
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