| Crider Health Center,inc | |
|
1032 Crosswinds Ct Wentzville MO 63385-4836 | |
| (636) 332-6000 | |
| (363) 332-3045 |
| Full Name | Crider Health Center,inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1032 Crosswinds Ct, Wentzville, Missouri |
| Authorized Official Name and Position | Laura Heebner (ASSOCIATE CEO, COO) |
| Authorized Official Contact | 6363328306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crider Health Center,inc 1032 Crosswinds Ct Wentzville MO 63385-4836 Ph: (636) 332-6000 | Crider Health Center,inc 1032 Crosswinds Ct Wentzville MO 63385-4836 Ph: (636) 332-6000 |
| NPI Number | 1366770604 |
|---|---|
| Provider Enumeration Date | 11/25/2009 |
| Last Update Date | 11/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366770604 | NPI | - | NPPES |
| 504605312 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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