Organization
AFFINIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET VOSS (CFO)
(314) 814-8571
Entity
Organization
Contact information
Practice address
2220 LEMP AVE, SAINT LOUIS, MO 63104-2700
(314) 814-8514
(314) 814-8542
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 898-1700
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
507276004
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D1046059
CLIA
MO
05
—
507276004
—
MO
Enumeration date
08/03/2006
Last updated
09/12/2023
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