Family Care Health Centers | |
2717 Sidney Street St. Louis MO 63104 | |
(314) 437-0364 | |
Not Available |
Full Name | Family Care Health Centers |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2717 Sidney Street, St. Louis, Missouri |
Authorized Official Name and Position | Kevin Lashun Maddox (CFO) |
Authorized Official Contact | 3144811615 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Care Health Centers 401 Holly Hills Ave Saint Louis MO 63111-2410 Ph: (314) 481-1615 | Family Care Health Centers 2717 Sidney Street St. Louis MO 63104 Ph: (314) 437-0364 |
NPI Number | 1407469570 |
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Provider Enumeration Date | 08/28/2020 |
Last Update Date | 08/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407469570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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