Organization · Type 2 NPI

Provident

Preferred Provider Organization · Arnold, MO

NPI number 1316005473 Active

Practice location

3675 W Outer Rd, 203
Arnold, MO 63010-5232

Fax (636) 296-3249

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency 251G00000X002589 (MO)
Preferred Provider Organization Primary 305R00000XSW002589 (MO)

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

4 other providers at this address

About NPI 1316005473

Provident's National Provider Identifier is 1316005473, issued on Dec 4, 2006. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Arnold, MO. The record was last updated on Sep 11, 2025.