Organization
CARESTL HEALTH
Active
Organization
CARESTL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA R CLABON MBA (CEO)
(314) 367-5820
Entity
Organization
Contact information
Practice address
5541 RIVERVIEW BLVD, SAINT LOUIS, MO 63120-2443
(314) 389-4566
(314) 385-7859
Mailing address
PO BOX 772971, CHICAGO, IL 60677-0271
(314) 898-1268
(855) 298-7184
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50743308
—
MO
Enumeration date
02/14/2007
Last updated
06/27/2018
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