Organization
AFFINIA HEALTHCARE
Active
Other names
Affinia At St. Louis Regional Infusion Center, Affinia At The St. Louis Regional Infusion Center
Organization subpart
No
Provider details
NPI number
Authorized official
CORINTHIA DARCEL JAMISON (CREDENTIALING COORDINATOR)
(314) 814-8531
Entity
Organization
Contact information
Practice address
2125 BISSELL ST, SAINT LOUIS, MO 63107-1406
(660) 829-6647
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 814-8531
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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