Organization
MAGELLAN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI D MCCLURE MSW (EXECUTIVE DIRECTOR)
(314) 387-4664
Entity
Organization
Contact information
Practice address
14100 MAGELLAN PLZ, MARYLAND HEIGHTS, MO 63043-4644
(314) 387-4000
Mailing address
1115 OAKLEY LN, LAKE ST LOUIS, MO 63367-1957
(636) 332-1545
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2000149482
MO
Other
Enumeration date
09/17/2006
Last updated
08/22/2020
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