AFFINIA HEALTHCARE NPI 1407393960

NPI Information

  • NPI: 1407393960
  • Provider Name: AFFINIA HEALTHCARE
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 26D1046059
  • Address: 6763 PAGE AVE
    SAINT LOUIS, MO
    ZIP 63133
  • Phone: (314) 898-1700

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NPI Details

AFFINIA HEALTHCARE is a federally qualified health center (fqhc) clinic center in Saint Louis, MO. AFFINIA HEALTHCARE NPI is 1407393960. The provider is registered as an organization entity type.

The provider's business location address is:

6763 PAGE AVE
SAINT LOUIS, MO
ZIP 63133-635
Phone: (314) 898-1700
Fax: (314) 814-8542

The provider's authorized official is Alan O Freeman .
The authorized official title is Ceo/president and has the following contact phone number (314) 814-8511.

The CLIA number assigned to this NPI record is 26D1046059 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/23/2017 and was last updated on 9/13/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)MISSOURIYes

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: 11/21/2025

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