Healthcare Provider Details

I. General information

NPI: 1780639088
Provider Name (Legal Business Name): COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 N HANLEY RD
SAINT LOUIS MO
63134-2003
US

IV. Provider business mailing address

6121 N HANLEY RD
SAINT LOUIS MO
63134-2003
US

V. Phone/Fax

Practice location:
  • Phone: 314-615-0600
  • Fax: 314-615-8303
Mailing address:
  • Phone: 314-615-0500
  • Fax: 314-615-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number StateMO

VIII. Authorized Official

Name: DR. FAISAL KHAN
Title or Position: DIRECTOR
Credential:
Phone: 314-615-6445