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NPI Code Detail

MEDICARE: FREDERIKSTED HEALTH CARE, INC.

MEDICARE: FREDERIKSTED HEALTH CARE, INC.
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
1261QF0400XFederally Qualified Health Center (FQHC)VI

General Provider Information

NPI Number : 1437215134
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREDERIKSTED HEALTH CARE, INC.
Provider Business Mailing Address
First Line : PO BOX 1198
Second Line :
City : FREDERIKSTED
State : VI
Zip : 00841-1198
Country : US
Telephone Number : 340-772-0260
Fax Number : 340-772-5895
Provider Business Practice Location Address
First Line : 516 STRAND ST
Second Line :
City : FREDERIKSTED
State : VI
Zip : 00840-3533
Country : US
Telephone Number : 340-772-0260
Fax Number : 340-772-5895
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. MASSERAE SPRAUVE-WEBSTER
Credential :
Telephone Number : 340-772-1992
Provider Enumeration Date : 12/28/2006
Last Update Date : 11/18/2009

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Directions to “FREDERIKSTED HEALTH CARE, INC. ” Practice Location

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