Organization
MEDSOURCE OF ST. LOUIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARK COFFETT (PRESIDENT)
(314) 966-1818
Entity
Organization
Contact information
Practice address
3394 MCKELVEY RD., SUITE 102, SAINT LOUIS, MO 63044
(314) 966-1818
(314) 966-1001
Mailing address
3394 MCKELVEY RD., SUITE 102, SAINT LOUIS, MO 63044
(314) 966-1818
(314) 966-1001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15710874
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29678
BLUE CROSS BLUE SHIELD
MO
05
—
626012405
—
MO
Enumeration date
07/26/2006
Last updated
12/18/2015
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