Provident
Preferred Provider Organization · Arnold, MO
Practice location
3675 W Outer Rd203
Arnold, MO 63010-5232
- Phone
- (314) 898-0102
- Fax
- (636) 296-3249
NPI record
- NPI
- 1316005473
- Entity type
- Organization (Type 2)
- Enumeration date
- December 4, 2006
- Last updated
- September 11, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X |
SW002589 | MO |
| Community Based Hospice Care Agency | 251G00000X |
002589 | MO |
Authorized official
- Name
- Mrs. Kristin Bulin, MSW
- Title
- Director of Counseling Division
- Phone
- (314) 371-6500
About Provident
Provident is a healthcare organization registered in the NPI registry with the primary taxonomy Preferred Provider Organization (code 305R00000X). The practice location is 3675 W Outer Rd, 203, Arnold, MO 63010-5232. The NPI number 1316005473 was assigned on December 4, 2006 and the record was last updated on September 11, 2025.
Provident lists 2 licenses in the registry: #SW002589 (MO) for Preferred Provider Organization; #002589 (MO) for Community Based Hospice Care Agency. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mrs. Kristin Bulin, MSW, Director of Counseling Division.
Frequently asked questions
What is the NPI number of Provident?
The NPI number is 1316005473.
What is the phone number of Provident?
The phone number listed for the practice location is (314) 898-0102.
Where is Provident located?
3675 W Outer Rd, 203, Arnold, MO 63010-5232.
What is the taxonomy code for Provident?
The primary taxonomy code is 305R00000X – Preferred Provider Organization; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.