| Family Care Health Centers | |
|
4352 Manchester Ave Saint Louis MO 63110-2138 | |
| (314) 481-1616 | |
| (314) 353-1310 |
| Full Name | Family Care Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 4352 Manchester Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Kevin Maddox (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3144811615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Health Centers 4352 Manchester Ave Saint Louis MO 63110-2138 Ph: (314) 481-1615 | Family Care Health Centers 4352 Manchester Ave Saint Louis MO 63110-2138 Ph: (314) 481-1616 |
| NPI Number | 1023285624 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7911815097 |
|---|---|
| Medicare Enrollment ID | O20030930000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023285624 | NPI | - | NPPES |
| 606023604 | Medicaid | MO | |
| 500858417 | Medicaid | MO | |
| 500968417 | Medicaid | MO | |
| 500968425 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
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