OrganizationActive
Gibson White Drake LLC
NPI 1043812548 · Health Service Clinic/Center · Bridgeton, MO
Provider details
- NPI number
- 1043812548
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vernisia White, Owner(314) 246-9852
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Health Agency251E00000X
Agencies
Practice location
11423 Saint Charles Rock Rd
Bridgeton, MO 63044-2724
Phone: (314) 246-9852
Approximate (ZIP-level) locationGet directions
Mailing address
11423 Saint Charles Rock Rd
Bridgeton, MO 63044-2724
Other names (DBA / former)
- Doing business as
- Jewel House
Registry dates
- Enumerated
- 2020-11-10
- Last updated
- 2020-11-10
- Certified
- 2020-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.