AFFINIA HEALTHCARE (NPI# 1093723959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093723959 |
| Entity Type | Organization |
| Organization Name | AFFINIA HEALTHCARE |
| Practice Address |
4414 N Florissant Ave Saint Louis MO 63107-1812 |
| Mailing Address |
Po Box 551 Saint Louis MO 63188-0551 |
| Practice Telephone | 3148981700 |
| Practice Fax Number | 3148981688 |
| 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) |
5008995962 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 26D0857809 | 01 | |
| MO | 500899562 | 05 |
| 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 |
| 1013925890 | Affinia Healthcare | Clinic/Center | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2006-08-04 |
| Street Address |
4414 N FLORISSANT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63107-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930502 | Lisa L. Armbruster | Family Medicine | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2006-02-09 |
| 1285244368 | Sima Shakiba | Dentist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2020-08-04 |
| 1245741784 | Amy R Adams | Dental Hygienist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-10-23 |
| 1154849578 | Karen D Paschel | Nurse Practitioner | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-09-06 |
| 1285157958 | Brandy Ladora Macon | Physician Assistant | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-07-24 |
| 1154670826 | Carla Ruth Duban | Pediatrics | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2012-09-10 |
| 1528320447 | Kelli M. Dorsey | Dentist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2012-06-15 |
| 1942519046 | Joshua Paul Branham | Physician Assistant | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2010-10-07 |
| 1144533902 | Anniece Spencer | Nurse Practitioner | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2010-07-22 |
| 1538333620 | Lab One LLC | Clinical Medical Laboratory | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| Find all providers in zip 63107 | ||||
| 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 | 63107 |
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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.