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Organization

CARESTL HEALTH

Active
Other names
Homer G. Phillips Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA R CLABON MBA (CEO)
(314) 367-5820
Entity
Organization

Contact information

Practice address
2425 WHITTIER ST, SAINT LOUIS, MO 63113-2950
(314) 371-3100
(314) 289-8718
Mailing address
2425 WHITTIER ST, SAINT LOUIS, MO 63113-2950
(314) 367-5820
(314) 367-7010

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
507523702
MO
Enumeration date
02/13/2007
Last updated
09/26/2018
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