FAMILY CARE HEALTH CENTERS NPI 1508867508

NPI Information

NPI: 1508867508
Provider Name: FAMILY CARE HEALTH CENTERS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
ZIP 63111
Phone: (314) 481-1615
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FAMILY CARE HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Saint Louis, MO. FAMILY CARE HEALTH CENTERS NPI is 1508867508. The provider is registered as an organization entity type.

The provider's business location address is:

401 HOLLY HILLS AVE
SAINT LOUIS, MO
ZIP 63111-410
Phone: (314) 481-1615
Fax: (314) 353-1310

The provider's authorized official is Kevin Maddox .
The authorized official title is Chief Financial Officer and has the following contact phone number (314) 481-1615.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 7/21/2022.

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
1	261Q00000X	Clinic/Center			MISSOURI	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	500968417	MEDICAID	MISSOURI
2	500858417	MEDICAID	MISSOURI
3	500968425	MEDICAID	MISSOURI
4	606023604	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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