AFFINIA HEALTHCARE NPI 1902816077

NPI Information

NPI: 1902816077
Provider Name: AFFINIA HEALTHCARE
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 26D1046060

Address:
1717 BIDDLE ST
SAINT LOUIS, MO
ZIP 63106
Phone: (314) 898-1700
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AFFINIA HEALTHCARE is a federally qualified health center (fqhc) clinic center in Saint Louis, MO. AFFINIA HEALTHCARE NPI is 1902816077. The provider is registered as an organization entity type.

The provider's business location address is:

1717 BIDDLE ST
SAINT LOUIS, MO
ZIP 63106-454
Phone: (314) 898-1700

The provider's authorized official is Janet Voss .
The authorized official title is Cfo and has the following contact phone number (314) 814-8571.

The CLIA number assigned to this NPI record is 26D1046060 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/9/2006 and was last updated on 4/7/2016.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	507226801	MISSOURI	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	Other Provider Identifier Issuer
1	507226801	MEDICAID	MISSOURI
2	26D1046060	OTHER	MISSOURI	CLIA
3	261888	MEDICARE OSCAR/CERTIFICATION	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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