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DEDICATED SENIOR MEDICAL CENTER TOWER GROVE
NPI 1154968196
Non-Pharmacy Dispensing Site in Saint Louis, MO

Active since December 10, 2019
3721 S GRAND BLVD, SAINT LOUIS, MO 63118(314) 328-0144 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2020, Dec 10, 2019 (2 updates tracked since 2019).

About Dedicated Senior Medical Center Tower Grove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDICATED SENIOR MEDICAL CENTER TOWER GROVE (NPI 1154968196) is a healthcare organization registered as a non-pharmacy dispensing site in Saint Louis, Missouri and active in the NPI registry since December 2019. The organization lists Mary Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1154968196
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED MISSOURI HOLDING, LLC
Location Address3721 S GRAND BLVDSaint Louis, MO 63118-3405
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Phone(314) 328-0144
Organization SubpartYes
Authorized OfficialMary ChenOwner · (305) 628-6117
Enumeration DateDecember 10, 2019
Last NPPES UpdateMarch 31, 20202 updates tracked since enumeration
NPPES CertifiedMarch 31, 2020
✔ NPI 1154968196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
3721 S GRAND BLVD, Saint Louis, MO 63118
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Other Names 1

Doing Business AsDedicated Senior Medical Center Tower Grove

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2189148

Dedicated Senior Medical Center-Tower Grove · Saint Louis, MO
Expired · Jul 26, 2026
CLIA Number26D2189148
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorGordon Chen
Laboratory Phone(305) 842-3910
Laboratory LocationDedicated Senior Medical Center-Tower Grove3721 S Grand Blvd, Saint Louis, MO 63118
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIA-YUAN HSU
Internal Medicine
3721 S GRAND BLVD
SAINT LOUIS, MO 63118
St. Louis City (314) 328-0144
MR. PETER SHELBY GROCE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
3721 S GRAND BLVD
SAINT LOUIS, MO 63118
St. Louis City (314) 328-0144
DR. JASON KORT WOODY SR. DO
Family Medicine
3721 S GRAND BLVD
SAINT LOUIS, MO 63118
St. Louis City (314) 328-0144
JOSEPHINE LEE AGUHOB GLASER M.D.
Family Medicine
3721 S GRAND BLVD
SAINT LOUIS, MO 63118
St. Louis City (314) 328-0144
DR. ANDREA GRACE BROWN DO
Family Medicine
3721 S GRAND BLVD
SAINT LOUIS, MO 63118
St. Louis City (314) 328-0144
JILLIAN R. B. WILLIAMS FNP-BC
Nurse Practitioner (Family)
3721 S GRAND BLVD
SAINT LOUIS, MO 63118
St. Louis City (314) 328-0144
DR. TIMOTHY W HUTCHISON M.D.
Family Medicine
3721 S GRAND BLVD
SAINT LOUIS, MO 63118
St. Louis City (314) 328-0144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedicated Missouri Holding, LLC's NPI number?

The NPI number for Dedicated Missouri Holding, LLC is 1154968196. It was assigned to this organization in the NPPES registry on December 10, 2019. The provider is doing business as Dedicated Senior Medical Center Tower Grove.

Where is Dedicated Missouri Holding, LLC located?

Dedicated Missouri Holding, LLC is located at 3721 S Grand Blvd, Saint Louis, MO 63118. The listed phone number is (314) 328-0144.

What is Dedicated Missouri Holding, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Dedicated Missouri Holding, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Dedicated Missouri Holding, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dedicated Missouri Holding, LLC was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.