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DEDICATED MISSOURI HOLDING, LLC
NPI 1558909150
Non-Pharmacy Dispensing Site in Saint Louis, MO

Active since December 13, 2019
3649 PAGE BLVD, SAINT LOUIS, MO 63113(314) 328-0144 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 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 1558909150), doing business as Dedicated Senior Medical Center Page Boulevard, 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

NPI1558909150
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED MISSOURI HOLDING, LLC
Location Address3649 PAGE BLVDSaint Louis, MO 63113-3807
Mailing Address1395 Nw 167th StMiami, FL 33169-5710
Phone(314) 328-0144
Organization SubpartYes
Authorized OfficialMary ChenOwner · (305) 628-6117
Enumeration DateDecember 13, 2019
✔ NPI 1558909150 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.)
3649 PAGE BLVD, Saint Louis, MO 63113
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Other Names 1

Doing Business AsDedicated Senior Medical Center Page Boulevard

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 2

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

ANNE USHA JACOB M.B.B.S.
Family Medicine
3649 PAGE BLVD
SAINT LOUIS, MO 63113
St. Louis City (314) 288-0071
DR. INDOLFO ALBERTO LUNA DPM
Podiatrist
3649 PAGE BLVD
SAINT LOUIS, MO 63113
St. Louis City (314) 288-0071

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 1558909150. It was assigned to this organization in the NPPES registry on December 13, 2019. The provider is doing business as Dedicated Senior Medical Center Page Boulevard.

Where is Dedicated Missouri Holding, LLC located?

Dedicated Missouri Holding, LLC is located at 3649 Page Blvd, Saint Louis, MO 63113. 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 Medica 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 December 13, 2019. 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.