Organization
CRIDER HEALTH CENTER,INC
Active
Organization
CRIDER HEALTH CENTER,INC
Active
Parent organization
CRIDER HEALTH CENTER,INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRIDER HEALTH CENTER,INC.
Authorized official
LAURA HEEBNER (SEN VP COO)
(636) 332-8000
Entity
Organization
Contact information
Practice address
416 MARKET ST, WASHINGTON, MO 63090-2610
(636) 239-8397
Mailing address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(636) 332-8000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26-1012
—
MO
05
—
504605338
—
MO
Enumeration date
09/12/2007
Last updated
05/08/2008
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