MEDICARE: AFFINIA HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1295252088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINIA HEALTHCARE

Provider Business Mailing Address
First Line	:	PO BOX 551
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63188-0551
Country	:	US
Telephone Number	:	314-898-1700
Fax Number	:	314-814-8542

Provider Business Practice Location Address
First Line	:	6701 SAINT CHARLES ROCK RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-1705
Country	:	US
Telephone Number	:	314-898-1700
Fax Number	:	314-814-8542

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	CORINTHIA D JAMISON
Credential	:
Telephone Number	:	314-814-8531

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	09/27/2021

Similar Medicare Providers

1780096941 — BETTY JEAN KERR PEOPLE'S HEALTH CENTERS
Practice Location Address:

6701 SAINT CHARLES ROCK RD
SAINT LOUIS, MO
63133-1705

Practice Phone: 314-367-7848
Practice Fax: 314-367-2985

1154536670 — CATHERINE GENETTI OTRL
Practice Location Address:

8819 LAWN AVE
SAINT LOUIS, MO
63144-1705

Practice Phone: 314-961-6151
Practice Fax:

1699919936 — ASSURED HEALTH SERVICES, LLC
Practice Location Address:

4457 MIAMI ST
SAINT LOUIS, MO
63116-1705

Practice Phone: 314-599-6594
Practice Fax:

1548593536 — MR. RODNEY WAYNE MOORE RN BSN CPAN CAPA
Practice Location Address:

1078 FONTAINE PL
SAINT LOUIS, MO
63137-1705

Practice Phone: 404-918-0461
Practice Fax: 314-868-6605

1194008128 — THOMAS JOSEPH STORCK I RPH
Practice Location Address:

2337 S COMPTON AVE
SAINT LOUIS, MO
63104-1705

Practice Phone: 314-772-7665
Practice Fax:

1851727291 — STEPHANIE M MARGOLIS RD
Practice Location Address:

1605 ANDREW DR
SAINT LOUIS, MO
63122-1705

Practice Phone: 314-435-2041
Practice Fax:

Directions to “AFFINIA HEALTHCARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.