Organization
LA CLINICA- LATINO COMMUNITY HEALTH CENTERS
Active
Organization
LA CLINICA- LATINO COMMUNITY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHIGNOLI M.D. (FOUNDER AND C.E.O.)
(314) 352-7400
Entity
Organization
Contact information
Practice address
3646 FAIRVIEW AVE, SAINT LOUIS, MO 63116-4747
(314) 352-7400
(314) 773-0709
Mailing address
3646 FAIRVIEW AVE, SAINT LOUIS, MO 63116-4747
(314) 352-7400
(314) 773-0709
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
18643752
MO
Other
Enumeration date
07/12/2005
Last updated
08/22/2020
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