| St. Patrick | |
|
800 N Tucker Blvd Saint Louis MO 63101-1114 | |
| (314) 241-2200 | |
| Not Available |
| Full Name | St. Patrick |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 800 N Tucker Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Janet Voss (CFO) |
| Authorized Official Contact | 3148148571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Patrick Po Box 551 Saint Louis MO 63188-0551 Ph: (314) 814-8515 | St. Patrick 800 N Tucker Blvd Saint Louis MO 63101-1114 Ph: (314) 241-2200 |
| NPI Number | 1346258126 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346258126 | NPI | - | NPPES |
| 500899539 | Medicaid | MO | |
| 26D0957248 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1346258126 (Missouri) | Primary |
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