AFFINIA HEALTHCARE (NPI# 1013925890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 500899596 | 05 | |
CLIA | 26D0983729 | 01 |
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 |
Street Address |
3930 S BROADWAY |
City | SAINT LOUIS |
State | MO |
Zip Code | 63118-4626 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 63118 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
City | SAINT LOUIS |
Zip Code | 63118 |
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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.