Organization
ST. JOSEPH FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN ROSE JOHNSON (BUSINESS MANAGER)
(816) 671-1331
Entity
Organization
Contact information
Practice address
2120 S RIVERSIDE RD, SAINT JOSEPH, MO 64507-2535
(816) 671-1331
(816) 676-1311
Mailing address
2120 S RIVERSIDE RD, SAINT JOSEPH, MO 64507-2535
(816) 671-1331
(816) 676-1311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24542019
GROUP # FOR BCBS KC
MO
05
—
503971103
—
MO
Enumeration date
02/01/2006
Last updated
06/27/2008
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