Organization
GRACE HILL HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN O. FREEMAN MBA, FACHE (PRESIDENT-CEO)
(314) 814-8511
Entity
Organization
Contact information
Practice address
2524 HADLEY ST, SAINT LOUIS, MO 63106-4019
(314) 814-8515
(314) 814-8542
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500899521
—
MO
Enumeration date
05/21/2008
Last updated
02/16/2012
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