DEDICATED MISSOURI HOLDING, LLC
NPI 1164276523
Non-Pharmacy Dispensing Site in Saint Louis, MO

Active since April 12, 2024
10990 NEW HALLS FERRY RD STE 1, SAINT LOUIS, MO 63136(314) 788-6444(314) 788-6504 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dedicated Missouri Holding, Llc NPPES

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

DEDICATED MISSOURI HOLDING, LLC (NPI 1164276523), doing business as Dedicated Senior Medical Center Ferguson, is a healthcare organization registered as a non-pharmacy dispensing site in Saint Louis, Missouri and active in the NPI registry since April 2024. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164276523
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED MISSOURI HOLDING, LLC
Location Address10990 NEW HALLS FERRY RD STE 1Saint Louis, MO 63136-4471
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Fax(314) 788-6504
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 628-6117
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
NPI 1164276523 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.)
10990 NEW HALLS FERRY RD STE 1, Saint Louis, MO 63136

Other Names 1

Doing Business AsDedicated Senior Medical Center Ferguson

Accepted Insurance

Other Providers at the Same Location NPPES

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

Family Medicine
10990 NEW HALLS FERRY RD STE 1
SAINT LOUIS, MO 63136

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 1164276523. It was assigned to this organization in the NPPES registry on April 12, 2024. The provider is doing business as Dedicated Senior Medical Center Ferguson.

Where is Dedicated Missouri Holding, LLC located?

Dedicated Missouri Holding, LLC is located at 10990 New Halls Ferry Rd Ste 1, Saint Louis, MO 63136. The listed phone number is (314) 788-6444.

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 33 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 April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.