Organization
AFFINIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET VOSS (CFO)
(314) 814-8571
Entity
Organization
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 898-1700
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 814-8515
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
507226801
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D1046060
CLIA
MO
05
—
507226801
—
MO
Enumeration date
08/09/2006
Last updated
04/07/2016
Update your record
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