Organization
P.R.I.M.E. HEALTH CENTERS - FLORISSANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L ADAMS (PRACTICE ADMINISTRATOR)
(636) 577-7812
Entity
Organization
Contact information
Practice address
18 GRANDVIEW PLAZA SHOPPING CTR, FLORISSANT, MO 63033-6105
(314) 627-1411
(314) 627-1406
Mailing address
18 GRANDVIEW PLAZA SHOPPING CTR, FLORISSANT, MO 63033-6105
(314) 627-1411
(314) 627-1406
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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