Carestl Health | |
4248 Cottage Ave Saint Louis MO 63113 | |
(314) 371-1048 | |
(314) 531-9852 |
Full Name | Carestl Health |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4248 Cottage Ave, Saint Louis, Missouri |
Authorized Official Name and Position | Angela Renee Archibaldclabon (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3143675820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carestl Health 4248 Cottage Ave Saint Louis MO 63113-2545 Ph: (314) 371-1048 | Carestl Health 4248 Cottage Ave Saint Louis MO 63113 Ph: (314) 371-1048 |
NPI Number | 1124570999 |
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Provider Enumeration Date | 10/27/2016 |
Last Update Date | 06/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124570999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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