institution
Affinia Healthcare
Federally Qualified Health Center (FQHC) in Saint Louis, Missouri
NPI 1003824293

Affinia Healthcare is a Federally Qualified Health Center (FQHC) based in Saint Louis, MO and is specialized in Federally Qualified Health Center (FQHC). Affinia Healthcare practices in Saint Louis, MO. The NPI Number for Affinia Healthcare is 1003824293 and holds a License No. 507276004 (Missouri).

The current practice location address for Affinia Healthcare is 2220 Lemp Ave, Saint Louis, MO and can be reached out via phone at 314-814-8514 and via fax at 314-814-8542.

Location: 2220 Lemp Ave, Saint Louis, MO, 63188-0551
institution
Provider Profile Details
NPI Number
1003824293
Provider Name
Affinia Healthcare
Credential
Provider Entity Type
Organization
Address
2220 Lemp Ave, Saint Louis, MO, 63188-0551
Phone Number
314-814-8514
Fax Number
314-814-8542
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
507276004 05 MO
26D1046059 01 MO CLIA
institution
Provider Business Practice Location Address Details
Address
2220 Lemp Ave
City
State
Zip
63104-2700
Phone Number
314-814-8514
Fax Number
314-814-8542
person
Provider Business Mailing Address Details
Address
2220 Lemp Ave
City
State
Zip
63104-2700
Phone Number
314-814-8514
Fax Number
314-814-8542
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
507276004 (Missouri)
Definition
Definition to come...
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