JORDAN MOSES – NPI #1073295119
Clinic/Center

JORDAN MOSES is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1073295119 to JORDAN MOSES on August 07, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN MOSES below.

NPI Profile for
JORDAN MOSES

NPI Number
1073295119
Enumeration Date

(about 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JORDAN MOSES
Primary location
812 N 2NS ST
SAINT LOUIS, MO 63102
Phone: (314) 583-0042 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Aug 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)
MO
156F00000X
- Technician/Technologist
MO

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.