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NPI Code Detail

MEDICARE: FAMILY CARE HEALTH CENTERS

MEDICARE: FAMILY CARE HEALTH CENTERS
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
1261Q00000XClinic/CenterMO
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508867508
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE HEALTH CENTERS
Provider Business Mailing Address
First Line : 401 HOLLY HILLS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63111-2410
Country : US
Telephone Number : 314-481-1615
Fax Number : 314-353-1310
Provider Business Practice Location Address
First Line : 401 HOLLY HILLS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63111-2410
Country : US
Telephone Number : 314-481-1615
Fax Number : 314-353-1310
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : ROBIN S JONES
Credential :
Telephone Number : 314-481-1615
Provider Enumeration Date : 08/02/2005
Last Update Date : 11/11/2025

Similar Medicare Providers

1154431336 — NANCY BAUER MD
Practice Location Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
63111-2410
Practice Phone: 314-353-5190
Practice Fax: 314-353-7631
1477554848 — MRS. CAROL DEE HORTON-HENLEY DDS
Practice Location Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
63111-2410
Practice Phone: 314-353-5190
Practice Fax: 314-353-7631
1023010998 — MRS. JINA LEE MCATEE MD
Practice Location Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
63111-2410
Practice Phone: 314-353-5190
Practice Fax: 314-353-1310
1619961612 — MR. ROBERT KNOX MASSIE DDS
Practice Location Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
63111-2410
Practice Phone: 314-481-1615
Practice Fax: 314-353-1310
1700877032 — DR. SUSAN KIM REYNOLDS MD
Practice Location Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
63111-2410
Practice Phone: 314-353-5190
Practice Fax: 314-353-7631
1326022856 — MS. LISA BUSH DENTIST
Practice Location Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
63111-2410
Practice Phone: 314-481-1615
Practice Fax: 314-353-1310

Directions to “FAMILY CARE HEALTH CENTERS ” Practice Location

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