Healthcare Provider Details

I. General information

NPI: 1528792660
Provider Name (Legal Business Name): HI - TECH CHARITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 DR MARTIN LUTHER KING DR
SAINT LOUIS MO
63112-3516
US

IV. Provider business mailing address

5920 DR MARTIN LUTHER KING DR
SAINT LOUIS MO
63112-3516
US

V. Phone/Fax

Practice location:
  • Phone: 314-389-5737
  • Fax: 314-382-1660
Mailing address:
  • Phone: 314-389-5737
  • Fax: 314-382-1660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS ONUKWUE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 314-922-7139