Organization Active NPI

Abundant Health Care Services

  • Health Maintenance Organization
  • Kirkwood, MO
National Provider Identifier
1609140359
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ABUNDANT HEALTH CARE SERVICES
Practice address
212 Charmers CT
Kirkwood, MO 63122-7129
Phone
(314) 664-5155
Fax
(866) 255-9006
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Ms. Pamela Vantrice Greer
Title
President
Phone
(314) 664-5155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary
Health Maintenance Organization 302R00000X MO

Addresses

Primary practice location

212 Charmers CT
Kirkwood, MO 63122-7129

Mailing address

1712 S Tucker Blvd
Saint Louis, MO 63104-3427
Phone (314) 334-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1609140359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 S TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043427",
            "telephone_number": "314-334-8000",
            "fax_number": "866-255-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CHARMERS CT",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227129",
            "telephone_number": "314-664-5155",
            "fax_number": "866-255-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "VANTRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-664-5155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.