=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083528749
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FREDERIKSTED HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2026
-----------------------------------------------------
Last Update Date | 09/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6B LA GRANDE PRINCESSE
-----------------------------------------------------
City | CHRISTIANSTED
-----------------------------------------------------
State | VI
-----------------------------------------------------
Zip | 00820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 340-772-0260
-----------------------------------------------------
Fax | 866-777-7596
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4043 ESTATE LA GRANDE PRINCESSE
-----------------------------------------------------
City | CHRISTIANSTED
-----------------------------------------------------
State | VI
-----------------------------------------------------
Zip | 00820-4353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 340-772-0260
-----------------------------------------------------
Fax | 866-777-7596
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MASSERAE SPRAUVE-WEBSTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 340-772-0260
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------