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DEDICATED MISSOURI HOLDING, LLC
NPI 1790317402
Non-Pharmacy Dispensing Site in Saint Louis, MO

Active since February 10, 2020
175 N OAKS PLZ, SAINT LOUIS, MO 63121(314) 328-0144 Get Directions Write a Review

NPPES record last updated: February 10, 2020. 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 1790317402), doing business as Dedicated Senior Medical Center North St. Louis, is a healthcare organization registered as a non-pharmacy dispensing site in Saint Louis, Missouri and active in the NPI registry since February 2020. The organization lists Mary Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1790317402
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED MISSOURI HOLDING, LLC
Location Address175 N OAKS PLZSaint Louis, MO 63121-2925
Mailing Address1395 Ne 167th StMiami, FL 33162-2744 · (305) 628-6117
Phone(314) 328-0144
Organization SubpartYes
Authorized OfficialMary ChenOwner · (305) 628-6117
Enumeration DateFebruary 10, 2020
✔ NPI 1790317402 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.)
175 N OAKS PLZ, Saint Louis, MO 63121
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Other Names 1

Doing Business AsDedicated Senior Medical Center North St. Louis

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 ›

Other Providers at the Same Location NPPES 8

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

SALWAT SHAMI M.D.
Internal Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
LA TANYA LAWRENCE AS
Nurse Practitioner (Family)
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
DR. SABRINA JANIE GARD MD, MPH, AAHIVS
Internal Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
EDWARD JAMAL DUQUM DO
Internal Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
KHAROLE COMPERE M.D.
Family Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
DELORA M BROOKS FNP-BC
Nurse Practitioner (Family)
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
DR. DAVID GLICK M.D.
Family Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777
MR. VINCENT VIET NGO M.D.
Family Medicine
175 N OAKS PLZ
SAINT LOUIS, MO 63121
St. Louis County (314) 391-9777

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 1790317402. It was assigned to this organization in the NPPES registry on February 10, 2020. The provider is doing business as Dedicated Senior Medical Center North St. Louis.

Where is Dedicated Missouri Holding, LLC located?

Dedicated Missouri Holding, LLC is located at 175 N Oaks Plz, Saint Louis, MO 63121. 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 February 10, 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.