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NPI 1043812548

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

Health Service Clinic/CenterPrimary261QH0100X
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

More MO providers

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.

Gibson White Drake LLC — NPI 1043812548, Bridgeton, MO | NPI Central