AFFINIA HEALTHCARE


Address: 3930 S Broadway, Saint Louis, MO 63118-4626
Phone: 3145776232

AFFINIA HEALTHCARE (NPI# 1013925890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013925890
Entity Type Organization
Organization Name AFFINIA HEALTHCARE
Practice Address 3930 S Broadway
Saint Louis
MO 63118-4626
Mailing Address Po Box 551
Saint Louis
MO 63188-0551
Practice Telephone 3145776232
Practice Fax Number 3148148542
Mailing Telephone 3148981700
Mailing Fax Number 3148148542
Enumeration Date 2006-08-04
Last Update Date 2016-04-07
Authorized Official Name MRS. JANET VOSS (CFO)
Authorized Official Telephone 3148148571
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
500899596 MO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 500899596 05
CLIA 26D0983729 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023584232 Affinia Healthcare Clinic/Center 5421 Thekla Ave, Saint Louis, MO 63120-2513 2018-10-16
1003392697 Affinia Healthcare Clinic/Center 2900 Washington Ave, Saint Louis, MO 63103-1306 2018-07-17
1710395611 Affinia Healthcare Clinic/Center 1908 Ofallon St, Saint Louis, MO 63106-3259 2014-07-24
1871069062 Affinia Healthcare Clinic/Center 1731 S Broadway, Saint Louis, MO 63104-4050 2018-10-16
1295252088 Affinia Healthcare Clinic/Center 6701 Saint Charles Rock Rd, Saint Louis, MO 63133-1705 2017-08-23
1407393960 Affinia Healthcare Clinic/Center 6763 Page Ave, Pagedale, MO 63133-1635 2017-01-23
1346634003 Affinia Healthcare Dentist 1500 Park Avenue, Saint Louis, MO 63104-3024 2015-03-20
1427221027 Affinia Healthcare Clinic/Center 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 2008-04-04
1902816077 Affinia Healthcare Clinic/Center 1717 Biddle St, Saint Louis, MO 63106-3454 2006-08-09
1093723959 Affinia Healthcare Clinic/Center 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2006-08-04

Office Location

Street Address 3930 S BROADWAY
City SAINT LOUIS
State MO
Zip Code 63118-4626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669478970 Thomas Patrick Kuciejczyk-kernan Family Medicine 3930 S Broadway, Saint Louis, MO 63118-4626 2005-06-22
1437614823 Kelcey A Depass Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2019-02-10
1679019046 Barbara K Allan Social Worker 3930 S Broadway, Saint Louis, MO 63118-4626 2017-01-10
1598106866 Sarah T Smith Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2013-07-15
1164733515 Mary Bridget Keegan Obstetrics & Gynecology 3930 S Broadway, Saint Louis, MO 63118-4626 2010-06-30
1467626556 Labone Inc Clinical Medical Laboratory 3930 S Broadway, Saint Louis, MO 63118 2008-04-18
1972692283 Angela M Schiefelbein Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-12
1528156668 Judith M Gallagher Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-11
1598853699 Rebekah Hassler Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-11
1598777930 Jocelin N Reatiraza Internal Medicine 3930 S Broadway, Saint Louis, MO 63118-4626 2006-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770149023 Clouds of Care In-home Healthcare Services LLC Hospice Care, Community Based 3450 Magnolia Ave, Saint Louis, MO 63118 2019-05-13
1154839488 Serenity Gardens Home Health Services LLC. Home Health 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 2018-01-22
1861917759 Freedom Day Center, LLC Meals 3309 Meramec Street, Saint Louis, MO 63118 2017-08-11
1669901450 Stanley Eziukwu Student in an Organized Health Care Education/Training Program 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 2017-06-06
1467987651 Hinna Shahid Internal Medicine 3545 South Jefferson Ave, St. Louis, MO 63118 2017-04-25
1225436959 Shelley Stretch Counselor 4066 Dunnica Avenue, St. Louis, MO 63118 2014-12-11
1821406174 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 4066 Dunnica, Saint Louis, MO 63118 2014-07-31
1275898173 Stephanie Lynn Cullinan Optometrist 3122 S Grand, St. Louis, MO 63118 2012-07-07
1174822555 Morgan Patrick Morris Chiropractor 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 2011-03-24
1043481955 Victor Rivera Md LLC Obstetrics & Gynecology 3535 S Jefferson, Suite 106, St Louis, MO 63118 2008-03-19
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023584232 Affinia Healthcare Clinic/Center 5421 Thekla Ave, Saint Louis, MO 63120-2513 2018-10-16
1003392697 Affinia Healthcare Clinic/Center 2900 Washington Ave, Saint Louis, MO 63103-1306 2018-07-17
1053801282 Carestl Health Clinic/Center 1218 Shepley Dr, Saint Louis, MO 63137 2018-05-14
1821517319 Carestl Health Clinic/Center 3921 N. Newstead Ave, Saint Louis, MO 63115-2748 2017-09-15
1417409178 Carestl Health Clinic/Center 4265 Athlone Ave, Saint Louis, MO 63115 2016-10-28
1124570999 Carestl Health Clinic/Center 4248 Cottage Ave, Saint Louis, MO 63113 2016-10-27
1710395611 Affinia Healthcare Clinic/Center 1908 Ofallon St, Saint Louis, MO 63106-3259 2014-07-24
1992117055 Betty Jean Kerr People's Health Centers Clinic/Center 11300 Dunn Rd, Saint Louis, MO 63138-1047 2014-05-23
1780096941 Betty Jean Kerr People's Health Centers Clinic/Center 6701 Saint Charles Rock Rd, Saint Louis, MO 63133-1705 2014-05-22
1770828956 Betty Jean Kerr People's Health Centers Clinic/Center 10725 Vorhof Dr, Saint Louis, MO 63136-5731 2012-11-29
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63118

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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