Missouri Care, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MISSOURI CARE, INC.

Doing business as

Healthy Blue

Practice address

1831 Chestnut St
Saint Louis, MO 63103-2236

Phone

(417) 848-5605

NPI assigned

Aug 26, 2019

Last updated

Sep 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Davis, AO

Title

State Plan President

Phone

(573) 271-0332

Specialties & licenses 1

Addresses

Other names 1

• Healthy Blue Doing business as

Tax ID family

Healthy Blue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Missouri Care, Inc.

  • Health Maintenance Organization
  • Saint Louis, MO
  • NPI 1700671914
  NPD tax ID

Locations

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1457908287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 CHESTNUT ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 CHESTNUT ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032236",
            "telephone_number": "417-848-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "STATE PLAN PRESIDENT",
        "authorized_official_telephone_number": "573-271-0332",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Blue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Missouri Baptist Medical Center
• Missouri Baptist Medical Center
• Missouri Baptist Physician Services LLC
• Missouri Baptist University (Missouri Baptist University Athletics)
• Missouri Bone & Joint Center
• Missouri Care, Inc.
• Missouri Caris Healthcare LLC
• Missouri Center for Orthopedics and Advanced Sports Medicine, LLC
• Missouri Commons Surgery Center LLC
• Missouri Custom Orthotics LLC

• Health Maintenance Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.