ST. KOLBE-PUCKETT CENTER FOR HEALING INC – NPI #1114498698
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

ST. KOLBE-PUCKETT CENTER FOR HEALING INC is a provider located in SAINT JOSEPH, MO. NPPES has assigned the NPI number 1114498698 to ST. KOLBE-PUCKETT CENTER FOR HEALING INC on December 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 7 years ago on May 01, 2019. 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 ST. KOLBE-PUCKETT CENTER FOR HEALING INC below.

NPI Profile for
ST. KOLBE-PUCKETT CENTER FOR HEALING INC

NPI Number
1114498698
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. KOLBE-PUCKETT CENTER FOR HEALING INC
Primary location
210 N 7TH ST
SAINT JOSEPH, MO 64501-1906
Phone: (816) 259-5318 Fax: (816) 259-5259
Mailing address
970 TARA OAKS DR
CHESTERFIELD, MO 63005-3654
Phone: (314) 398-5167 Fax:
Organization Subpart
No
Authorized Official
CAROLINE THALASINOS
OFFICE MANAGER
Phone: (816) 259-5318
Updated
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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

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.