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Organization

GRACE HILL HEALTH CENTERS, INC.

Active
Other names
St. Patrick
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET VOSS (CFO)
(314) 814-8571
Entity
Organization

Contact information

Practice address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1114
(314) 241-2200
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 814-8515
(314) 814-8542

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1346258126
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26D0957248
CLIA
05
500899539
MO
Enumeration date
08/04/2006
Last updated
02/16/2012
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