| |
3000 Orange Grove Easterly Building Christiansted VI 00820-4363 | |
(340) 772-0260 | |
(340) 713-0230 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3000 Orange Grove, Christiansted, Virgin Island |
Authorized Official Name and Position | Masserae E. Sprauve-webster (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3407721992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1198 Frederiksted VI 00841-1198 Ph: (340) 772-0260 | 3000 Orange Grove Easterly Building Christiansted VI 00820-4363 Ph: (340) 772-0260 |
NPI Number | 1841747425 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 09/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841747425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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