Organization
AFFINIA HEALTHCARE
Active
Other names
Affinia Healthcare Ferguson
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE O'CONNOR (VP/CFO)
(314) 814-8571
Entity
Organization
Contact information
Practice address
3396 PERSHALL RD, SAINT LOUIS, MO 63135-1407
(314) 814-8700
(314) 814-8542
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 814-8531
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
11/16/2023
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