| St Louis County , Missouri | |
|
4000 Jennings Station Rd Saint Louis MO 63121-3323 | |
| (314) 615-9700 | |
| (314) 615-8303 |
| Full Name | St Louis County , Missouri |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4000 Jennings Station Rd, Saint Louis, 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 |
|---|---|
| St Louis County , Missouri 6121 N Hanley Rd Berkeley MO 63134-2003 Ph: (314) 615-0877 | St Louis County , Missouri 4000 Jennings Station Rd Saint Louis MO 63121-3323 Ph: (314) 615-9700 |
| NPI Number | 1740175066 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740175066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Affinia Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
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