BETTY JEAN KERR PEOPLE'S HEALTH CENTERS (NPI# 1194797787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194797787 |
Entity Type | Organization |
Organization Name | BETTY JEAN KERR PEOPLE'S HEALTH CENTERS |
Other Organization Name | PEOPLE'S HEALTH CENTERS, INCORPORATED |
Practice Address |
5701 Delmar Blvd Saint Louis MO 63112-2617 |
Practice Telephone | 3143677848 |
Practice Fax Number | 3143672985 |
Mailing Telephone | 3143677848 |
Mailing Fax Number | 3143672985 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2014-05-13 |
Authorized Official Name | DWAYNE BUTLER (PRESIDENT & CEO) |
Authorized Official Telephone | 3143677848 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
072100 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 500543327 | 05 | |
MO | 1194797787 | 05 |
Other Name | Type Code |
---|---|
People's Health Centers, Incorporated | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1750625257 | Betty Jean Kerr People's Health Centers | Clinic/Center | 3035 Cass Ave, Saint Louis, MO 63106-1533 | 2012-11-21 |
1588908008 | Betty Jean Kerr People's Health Centers | Clinic/Center | 310 N 15th St, Saint Louis, MO 63103-2378 | 2012-11-21 |
1639207590 | Betty Jean Kerr People's Health Centers | Clinic/Center | 7200 Manchester Rd, Maplewood, MO 63143-2403 | 2007-03-01 |
1841668688 | Betty Jean Kerr People's Health Centers | Clinic/Center | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2015-09-10 |
1518095470 | Betty Jean Kerr People's Health Centers | Clinic/Center | 11642 W Florissant Ave, Florissant, MO 63033-6723 | 2007-03-01 |
1578608808 | Betty Jean Kerr People's Health Centers | Pharmacy | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2007-02-21 |
Street Address |
5701 DELMAR BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63112-2617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053312611 | Irma Jean Perkins | Nurse Practitioner | 5701 Delmar Blvd, Saint Louis, MO 63112 | 2005-08-04 |
1952927287 | Sasa Dzaferagic | Pharmacist | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2020-06-23 |
1245673003 | Wendy Ducasse | Social Worker | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2013-04-11 |
1942541578 | Betty Jean Kerr People's Health Center | Clinic/Center | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2013-03-06 |
1356697726 | Mykale R Elbe | Registered Nurse | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-08-03 |
1245598333 | Laura Ann Fleming Bergin | Obstetrics & Gynecology | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-04-26 |
1962778589 | Rachana Pradhan | Social Worker | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-03-28 |
1972802932 | Mariea Beth Snell | Nurse Practitioner | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2011-03-16 |
1659682946 | Maya Elizabeth Moody | Pediatrics | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2010-07-01 |
1033430798 | Hameem I Kawsar | Internal Medicine | 5701 Delmar Blvd, Bjk People's Health Centers, Saint Louis, MO 63112-2617 | 2010-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
Find all providers in zip 63112 |
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 | 63112 |
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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.