<Unavail>

LBN: Wrymark, Inc
<Unavail> is an health care organization with primary practice located at 11833 Westline Industrial Dr , Saint Louis MO 63146-3312. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Wrymark, Inc can be contacted via phone (314) 991-3891, or through Matthews, L. Churchill via phone (314) 991-3891.

Contact Information

Primary practice address
11833 Westline Industrial Dr Saint Louis MO 63146-3312
Phone: (314) 991-3891
Fax: (314) 991-5720
Website:
Map and Directions
Authorized official contact:
Name: Matthews, L. Churchill
Phone: (314) 991-3891

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1578562831
LBN Legal business name Wrymark, Inc
DBA Doing business as <Unavail>
Authorized official Matthews, L. Churchill
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 23rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578562831 NPPES
Missouri MEDICAID 626102008

Popular Providers