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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
5471 DR. MARTIN LUTHER KING, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500622915
MO
Enumeration date
08/24/2005
Last updated
06/11/2025
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