| Riverview Gardens | |
|
1218 Shepley Dr Saint Louis MO 63137 | |
| (314) 367-5820 | |
| (314) 367-6326 |
| Full Name | Riverview Gardens |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1218 Shepley Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Angela Renee Archibald-clabon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3143675820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Gardens 5471 Dr Martin Luther King Dr Saint Louis MO 63112-4265 Ph: (314) 367-5820 | Riverview Gardens 1218 Shepley Dr Saint Louis MO 63137 Ph: (314) 367-5820 |
| NPI Number | 1053801282 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053801282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
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