Organization Active NPI

Centene Venture Company Indiana, Inc.

  • Health Maintenance Organization
  • Saint Louis, MO
National Provider Identifier
1154938751
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CENTENE VENTURE COMPANY INDIANA, INC.
Practice address
7700 Forsyth Blvd
Saint Louis, MO 63105-1807
Phone
(833) 525-0824
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tricia Dinkelman
Title
VP, Tax
Phone
(833) 525-0824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

7700 Forsyth Blvd
Saint Louis, MO 63105-1807

Mailing address

7700 Forsyth Blvd
Saint Louis, MO 63105-1807
Phone (833) 525-0824

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1154938751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051807",
            "telephone_number": "833-525-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051807",
            "telephone_number": "833-525-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENE VENTURE COMPANY INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "DINKELMAN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "VP, TAX",
        "authorized_official_telephone_number": "833-525-0824"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.