St Louis County , Missouri | |
6121 N Hanley Rd Berkeley MO 63134-2003 | |
(314) 615-0500 | |
(314) 615-8303 |
Full Name | St Louis County , Missouri |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 6121 N Hanley Rd, Berkeley, Missouri |
Authorized Official Name and Position | Denise Wilson (REVENUE MANAGER) |
Authorized Official Contact | 3146150877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Louis County , Missouri 6121 N Hanley Rd Berkeley MO 63134-2003 Ph: (314) 615-0877 | St Louis County , Missouri 6121 N Hanley Rd Berkeley MO 63134-2003 Ph: (314) 615-0500 |
NPI Number | 1184519506 |
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Provider Enumeration Date | 06/09/2025 |
Last Update Date | 06/09/2025 |
Identifier | Type | State | Issuer |
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1184519506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |