Organization
ESSENCE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA BUTLER (CHIEF OPERATING OFFICER)
(314) 209-2700
Entity
Organization
Contact information
Practice address
13900 RIVERPORT DR, MARYLAND HEIGHTS, MO 63043-4804
(314) 209-2700
(314) 209-3234
Mailing address
13900 RIVERPORT DR, MARYLAND HEIGHTS, MO 63043-4804
(314) 209-2700
(314) 209-3234
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0027
MULTI CONTRACT ENTITY
MO
Enumeration date
08/03/2011
Last updated
08/03/2011
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