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NPI Code Detail

MEDICARE: FAMILY CARE HEALTH CENTERS

MEDICARE: FAMILY CARE HEALTH CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023285624
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE HEALTH CENTERS
Provider Business Mailing Address
First Line : 4352 MANCHESTER AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2138
Country : US
Telephone Number : 314-481-1615
Fax Number : 314-353-1310
Provider Business Practice Location Address
First Line : 4352 MANCHESTER AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2138
Country : US
Telephone Number : 314-481-1616
Fax Number : 314-353-1310
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : ROBIN S JONES
Credential :
Telephone Number : 314-481-1615
Provider Enumeration Date : 05/13/2008
Last Update Date : 11/11/2025

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Practice Location Address:
4352 MANCHESTER AVE
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1922082361 — DR. HEIDI MILLER M.D.
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63110-2138
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1427033679 — MS. MARY ANN SWEENEY N.P.
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1285811059 — DR. TARA MARIE BUDETTI M.D.
Practice Location Address:
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63110-2138
Practice Phone: 314-531-5444
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Directions to “FAMILY CARE HEALTH CENTERS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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