NPI 1003392697

Affinia Healthcare

Organisation Federally Qualified Health Center (FQHC) Saint Louis, MO

Practice location

Address: 2900 Washington Ave, Saint Louis, MO 63103-1306
Phone: (314) 898-1700
Fax: (314) 814-8542
Mailing address: PO Box 551, Saint Louis, MO 63188-0551

Authorised official

Name: Corinthia Darcel Jamison
Title: Credentialing Coordinator
Phone: (314) 814-8531

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1003392697
Entity type: Organization
NPI issued: 17 Jul 2018
Record last updated: 27 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.