| Betty Jean Kerr People's Health Centers | |
|
7200 Manchester Rd Maplewood MO 63143-2403 | |
| (314) 781-9162 | |
| (314) 781-2034 |
| Full Name | Betty Jean Kerr People's Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 7200 Manchester Rd, Maplewood, 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 |
|---|---|
| Betty Jean Kerr People's Health Centers 7200 Manchester Rd Maplewood MO 63143-2403 Ph: (314) 781-9162 | Betty Jean Kerr People's Health Centers 7200 Manchester Rd Maplewood MO 63143-2403 Ph: (314) 781-9162 |
| NPI Number | 1639207590 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 05/13/2014 |
| Medicare PECOS PAC ID | 5991618837 |
|---|---|
| Medicare Enrollment ID | O20110531000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639207590 | NPI | - | NPPES |
| 1639207590 | Medicaid | MO | |
| 500543335 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |