Healthcare Provider Details

I. General information

NPI: 1467245548
Provider Name (Legal Business Name): NUGGET'S COMMUNITY HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 N. KINGSHIGHWAY, STE. 103
ST. LOUIS MO
63115
US

IV. Provider business mailing address

3737 N KINGSHIGHWAY, STE. 103
ST. LOUIS MO
63115
US

V. Phone/Fax

Practice location:
  • Phone: 314-925-8495
  • Fax: 314-924-8497
Mailing address:
  • Phone: 314-949-6761
  • Fax: 314-549-5286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. GABRIELLE PAULETTE SATTERFIELD
Title or Position: OWNER/PROVIDER
Credential: FNP-BC
Phone: 314-229-7941