Organization
AFFINIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN O FREEMAN (CEO)
(314) 814-8511
Entity
Organization
Contact information
Practice address
1430 OLIVE ST, SUITE 500, SAINT LOUIS, MO 63103-2303
(314) 206-3700
(314) 206-3708
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
1427221027
MO
Other
Enumeration date
04/04/2008
Last updated
04/08/2016
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