FAMILY CARE HEALTH CENTERS (NPI# 1508867508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508867508 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE HEALTH CENTERS |
| Practice Address |
401 Holly Hills Ave Saint Louis MO 63111-2410 |
| Practice Telephone | 3144811615 |
| Practice Fax Number | 3143531310 |
| Mailing Telephone | 3144811615 |
| Mailing Fax Number | 3143531310 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | MR. KEVIN MADDOX (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3144811615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | ========= | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500968425 | 05 | |
| MO | 500968417 | 05 | |
| MO | 606023604 | 05 | |
| MO | 500858417 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1003218868 | Family Care Health Centers | Clinic/Center | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2014-09-23 |
| 1023285624 | Family Care Health Centers | Clinic/Center | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2008-05-13 |
| Street Address |
401 HOLLY HILLS AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63111-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758582 | Carmen Diane Purvis | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-15 |
| 1366071672 | Jessica Therese Auld | Family Medicine | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1386273662 | Anthony Hang | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1376172650 | Ryan Eric Allen | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1710516091 | Dymon Morgan | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1700433695 | Jessica Dawn Whitchurch | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-08-25 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1902460231 | Hannah Jacobs Webber | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-22 |
| 1699238204 | Jacquelyn Adele Bailey | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-10 |
| 1619435096 | Danielle Nicole Garcia | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| 1598070765 | Irene S Paul | Pharmacist | 1020 Loughborough Ave, Saint Louis, MO 63111 | 2010-08-12 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1740722230 | Saint Louis Allergy and Asthma Lc | Clinic/Center | 6651 Chippewa St Ste 312, Saint Louis, MO 63109-2532 | 2016-11-15 |
| 1609245448 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115-2512 | 2015-09-23 |
| 1538586037 | Advanced Cardiovascular Center LLC | Clinic/Center | 2335 Dougherty Ferry Rd, Suite A, Saint Louis, MO 63122-3313 | 2014-03-21 |
| 1871865881 | North County Health Care, Inc | Clinic/Center | 9231 West Florissant, Saint Louis, MO 63136-1432 | 2012-02-07 |
| 1013195478 | Union Manor Residential Care Facility | Clinic/Center | 2711 Union Blvd, Saint Louis, MO 63113-1003 | 2008-02-07 |
| 1497771653 | Instaclinic, LLC | Clinic/Center | 10805 Sunset Office Dr, Suite 300, Saint Louis, MO 63127-1017 | 2006-07-14 |
| 1346847233 | Washington University | Clinic/Center | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2020-10-05 |
| 1477104487 | Mmcmllc | Clinic/Center | 4173 Crescent Dr Ste A, Saint Louis, MO 63129-1082 | 2019-09-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63111 |
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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.