| Affinia Healthcare | |
|
2125 Bissell St Saint Louis MO 63107-1406 | |
| (660) 829-6647 | |
| Not Available |
| Full Name | Affinia Healthcare |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2125 Bissell St, Saint Louis, Missouri |
| Authorized Official Name and Position | Corinthia Darcel Jamison (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3148148531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinia Healthcare Po Box 551 Saint Louis MO 63188-0551 Ph: (314) 814-8531 | Affinia Healthcare 2125 Bissell St Saint Louis MO 63107-1406 Ph: (660) 829-6647 |
| NPI Number | 1184386377 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184386377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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