LA CLINICA LATINO COMMUNITY HEALTH CENTERS (NPI# 1871663559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871663559 |
| Entity Type | Organization |
| Organization Name | LA CLINICA LATINO COMMUNITY HEALTH CENTERS |
| Other Organization Name | LA CLINICA |
| Practice Address |
3646 Fairview Ave Saint Louis MO 63116-4747 |
| Practice Telephone | 3146645565 |
| Practice Fax Number | 3147730709 |
| Mailing Telephone | 3146645565 |
| Mailing Fax Number | 3147730709 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID C. CAMPBELL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3146645565 |
| Authorized Official Credential | M.D., M.ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | R1H15 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| La Clinica | Doing Business As Name - Organization |
| Street Address |
3646 FAIRVIEW AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63116-4747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278896 | La Clinica- Latino Community Health Centers | Clinic/Center | 3646 Fairview Ave, Saint Louis, MO 63116-4747 | 2005-07-12 |
| 1891993481 | Marietta R Caiarelli | Nurse Practitioner | 3646 Fairview Ave, Saint Louis, MO 63116-4747 | 2007-07-05 |
| 1386841328 | La Clinica | Family Medicine | 3646 Fairview Ave, Saint Louis, MO 63116-4747 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713395 | Trinity Cares LLC | In Home Supportive Care | 4343 Osceola, St Louis, MO 63116 | 2018-09-13 |
| 1437689213 | Veronica Leigh Delgado | Social Worker | 3430 Grace Ave, St. Louis, MO 63116 | 2017-06-14 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1639426620 | Candice Daily | Home Health | 6824 Salzburger Ave, Saint Louis, MO 63116 | 2012-08-08 |
| 1104001304 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3573 Bamberger Ave., St. Louis, MO 63116 | 2008-01-07 |
| 1053533018 | Ryan Wesley Riney | Pharmacist | 3865 Gravois, St. Louis, MO 63116 | 2007-05-02 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1750454484 | Hector Ocampo Pineda | Internal Medicine | 4460 Chippewa St, St Louis, MO 63116 | 2006-11-17 |
| 1003926130 | Ann Heath Pietroburgo | Occupational Therapist | 4600 Chippewa, Ste F, St Louis, MO 63116 | 2006-08-30 |
| 1891216776 | Sheila Edwards | Licensed Practical Nurse | 4066 Dunnica Ave, Saint Louis, MO 63116 | 2017-06-30 |
| Find all providers in zip 63116 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710358957 | St. Louis Society for The Blind | Voluntary or Charitable | 8770 Manchester Rd, Saint Louis, MO 63144-2724 | 2015-10-14 |
| 1942606876 | Aw Health Care Inc | Voluntary or Charitable | 7216 Balson Ave, Saint Louis, MO 63130-3001 | 2014-11-04 |
| 1023389723 | Asthma & Allergy Foundation | Voluntary or Charitable | 1500 S Big Bend Blvd Ste 1s, Saint Louis, MO 63117-2212 | 2012-01-26 |
| 1386888311 | Stepping Into The Light, Inc. | Voluntary or Charitable | 1402 Hebert St, Saint Louis, MO 63107-3810 | 2009-04-21 |
| 1184898272 | The Salvation Army Midland Division | Voluntary or Charitable | 3010 Washington Ave, Saint Louis, MO 63103-1335 | 2008-04-18 |
| 1437287026 | Elizabeth Ann Webb | Voluntary or Charitable | 680 Craig Rd, Suite 308, Saint Louis, MO 63141-7120 | 2007-03-02 |
| 1407918840 | Adapt-ability, Inc. | Voluntary or Charitable | 9355 Dielman Industrial Dr, Saint Louis, MO 63132-2212 | 2006-12-14 |
| 1194803114 | St Louis Organization for Changing Men | Voluntary or Charitable | 4515 Olive St, Suite 200, Saint Louis, MO 63108-1814 | 2006-11-01 |
| 1053397133 | Catholic Family Services, Inc. | Voluntary or Charitable | 9200 Watson Rd, Ste. G101, Saint Louis, MO 63126-1528 | 2005-12-20 |
| 1346787421 | Memory Care Home Solutions | Voluntary or Charitable | 4389 W Pine Blvd, Saint Louis, MO 63108-2205 | 2017-01-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63116 |
Please comment or provide details below to improve the information on LA CLINICA LATINO COMMUNITY HEALTH CENTERS.
| 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.