Homestead Health Care Ihs Llc

Specialty details in registry · Black Jack, MO

Call (314) 757-9535 Directions

At a glance

12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261

NPPES record updated Jun 9, 2023. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

12405 Old Halls Ferry Rd Ste 100
Black Jack, MO 63033-4261
Professional details: NPI, taxonomy & registry record
NPI1942801345
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Nov 3, 2020
Record updated
Jun 9, 2023
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251E00000X

Specialty details in registry

253Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12405 Old Halls Ferry Rd Ste 100
Black Jack, MO 63033-4261
Phone
(314) 757-9535
Mailing address
12405 OLD HALLS FERRY RD STE 100

BLACK JACK, MO 630334261
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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