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BETTY JEAN KERR PEOPLE'S HEALTH CENTERS NPI 1194797787


NPI Information

NPI: 1194797787
Provider Name: BETTY JEAN KERR PEOPLE'S HEALTH CENTERS

Former Legal Business Name: PEOPLE'S HEALTH CENTERS, INCORPORATED

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5701 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63112
Phone: (314) 367-7848
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BETTY JEAN KERR PEOPLE'S HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Saint Louis, MO. BETTY JEAN KERR PEOPLE'S HEALTH CENTERS NPI is 1194797787. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is People's Health Centers, Incorporated.

The provider's business location address is:

5701 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63112-617
Phone: (314) 367-7848
Fax: (314) 367-2985

The provider's authorized official is Dwayne Butler .
The authorized official title is President & Ceo and has the following contact phone number (314) 367-7848.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 5/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)072100MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500543327MEDICAIDMISSOURI
2261805MEDICARE PINMISSOURI
31194797787MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.