Provider Demographics
NPI:1124324140
Name:ADMINISTRATIVE SUPPORT SERVICES GROUP INC
Entity type:Organization
Organization Name:ADMINISTRATIVE SUPPORT SERVICES GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HELFERSTAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-367-5622
Mailing Address - Street 1:4579 LACLEDE AVE # 229
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2103
Mailing Address - Country:US
Mailing Address - Phone:314-367-5622
Mailing Address - Fax:314-367-3996
Practice Address - Street 1:4585 WASHINGTON ST
Practice Address - Street 2:SUITE A1
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-5858
Practice Address - Country:US
Practice Address - Phone:314-921-4860
Practice Address - Fax:314-921-4878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization