Aspire Academy Confluence Charter School | |
5421 Thekla Ave Saint Louis MO 63120-2513 | |
(314) 814-8700 | |
(314) 814-8542 |
Full Name | Aspire Academy Confluence Charter School |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5421 Thekla Ave, 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 |
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Aspire Academy Confluence Charter School Po Box 551 Saint Louis MO 63188-0551 Ph: (314) 814-8531 | Aspire Academy Confluence Charter School 5421 Thekla Ave Saint Louis MO 63120-2513 Ph: (314) 814-8700 |
NPI Number | 1023584232 |
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Provider Enumeration Date | 10/16/2018 |
Last Update Date | 09/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023584232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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