Organization
COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT
Active
Parent organization
COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT
Other names
South County Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT
Authorized official
DENISE WILSON (REVENUE MANAGER)
(314) 615-0877
Entity
Organization
Contact information
Practice address
4580 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1810
(314) 615-0400
(314) 615-8303
Mailing address
6121 N HANLEY RD, BERKELEY, MO 63134-2003
(314) 615-0877
(314) 615-8303
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
08/26/2025
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