| Carestl Health | |
|
4500 Pope Ave Saint Louis MO 63115-2512 | |
| (314) 367-5820 | |
| (314) 367-7010 |
| Full Name | Carestl Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4500 Pope Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Angela Renee Archibald-clabon (CEO) |
| Authorized Official Contact | 3143675820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carestl Health Po Box Chicago IL 60677-0271 Ph: (314) 898-1268 | Carestl Health 4500 Pope Ave Saint Louis MO 63115-2512 Ph: (314) 367-5820 |
| NPI Number | 1609245448 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 06/27/2018 |
| Medicare PECOS PAC ID | 1557269289 |
|---|---|
| Medicare Enrollment ID | O20161005000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609245448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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