Organization
CARESTL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA RENEE ARCHIBALD-CLABON (CEO)
(314) 367-5820
Entity
Organization
Contact information
Practice address
4500 POPE AVE, SAINT LOUIS, MO 63115-2512
(314) 367-5820
(314) 367-7010
Mailing address
PO BOX, CHICAGO, IL 60677-0271
(314) 898-1268
(855) 298-7184
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
06/27/2018
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