Organization
BETTY JEAN KERR PEOPLES HEALTH CENTERS
Active
Parent organization
BETTY JEAN KERR PEOPLES HEALTH CENTERS
Other names
Peoples Healthcare Services, People's Healthcare Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETTY JEAN KERR PEOPLES HEALTH CENTERS
Authorized official
DWAYNE BUTLER (PRESIDENT & CEO)
(314) 367-7848
Entity
Organization
Contact information
Practice address
49 N FLORISSANT RD STE 101, FERGUSON, MO 63135-2312
(314) 633-8921
(314) 524-9227
Mailing address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
(314) 367-2985
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
N00015533
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500048820
—
MO
Enumeration date
10/13/2017
Last updated
11/26/2018
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