Healthcare Provider Details

I. General information

NPI: 1083528749
Provider Name (Legal Business Name): FREDERIKSTED HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6B LA GRANDE PRINCESSE
CHRISTIANSTED VI
00820
US

IV. Provider business mailing address

4043 ESTATE LA GRANDE PRINCESSE
CHRISTIANSTED VI
00820-4353
US

V. Phone/Fax

Practice location:
  • Phone: 340-772-0260
  • Fax: 866-777-7596
Mailing address:
  • Phone: 340-772-0260
  • Fax: 866-777-7596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MASSERAE SPRAUVE-WEBSTER
Title or Position: CEO
Credential:
Phone: 340-772-0260