| People's Healthcare Services | |
|
49 N Florissant Rd Ste 101 Ferguson MO 63135-2312 | |
| (314) 633-8921 | |
| (314) 524-9227 |
| Full Name | People's Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 49 N Florissant Rd Ste 101, Ferguson, Missouri |
| Authorized Official Name and Position | Dwayne Butler (PRESIDENT & CEO) |
| Authorized Official Contact | 3143677848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| People's Healthcare Services 5701 Delmar Blvd Saint Louis MO 63112-2617 Ph: (314) 367-7848 | People's Healthcare Services 49 N Florissant Rd Ste 101 Ferguson MO 63135-2312 Ph: (314) 633-8921 |
| NPI Number | 1457862708 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 11/26/2018 |
| Medicare PECOS PAC ID | 5991618837 |
|---|---|
| Medicare Enrollment ID | O20180110001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457862708 | NPI | - | NPPES |
| 500048820 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N00015533 (Missouri) | Primary |
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