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Centene Venture Company Indiana, INC.

Health Maintenance Organization in Saint Louis, MO. Organization (NPI-2).

NPI number1154938751
StatusActive
Last updated in NPPESJul 27, 2021

Details

NPI
1154938751
Entity type
Organization (NPI-2)
Legal business name
Centene Venture Company Indiana, INC.
Organization subpart
No
Enumeration date
Sep 28, 2020
Certification date
Jul 27, 2021
Last updated
Jul 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Practice location

7700 Forsyth Blvd
Saint Louis, MO 63105-1807

Phone 833-525-0824

Mailing address

7700 Forsyth Blvd
Saint Louis, MO 63105-1807

Phone 833-525-0824

Authorized official

Tricia Dinkelman
Vp, Tax
8335250824

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