Betty Jean Kerr People'S Health Centers in Florissant - Federally Qualified Health Center (fqhc)
Betty Jean Kerr People'S Health Centers - NPI 1518095470
Betty Jean Kerr People'S Health Centers is a Federally Qualified Health Center (fqhc) in Florissant, Missouri. Betty Jean Kerr People'S Health Centers practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Betty Jean Kerr People'S Health Centers is 1518095470. The last update date is 2014-05-13.
Betty Jean Kerr People'S Health Centers's current location address is 11642 W Florissant Ave, Florissant, Missouri. You can contact this provider via phone number 3148388220 and fax number 3148384007. The mailing address for Betty Jean Kerr People'S Health Centers is 11642 W Florissant Ave, Florissant, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Betty Jean Kerr People'S Health Centers |
---|---|
Address | 11642 W Florissant Ave, Florissant, Missouri |
Phone Number | 3148388220 |
Fax Number | 3148384007 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Butler Dwayne |
Telephone Number | 3143677848 |
NPI Number Detail
NPI Number | 1518095470 |
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Provider Enumeration Date | 2007-03-01 |
Last Updated Date | 2014-05-13 |
Provider Mailing Address Detail
Address | 11642 W Florissant Ave |
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City | Florissant |
State | Missouri (MO) |
Post Code | 630336723 |
Phone Number | 3148388220 |
Fax Number | 3148384007 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
---|---|
Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1518095470 | MO | -- | |
500543343 | MO | -- |
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What is the unique identification code assigned to Betty Jean Kerr People'S Health Centers by the Centers for Medicare & Medicaid Services?
The Betty Jean Kerr People'S Health Centers has been issued the NPI (National Provider Identifier) 1518095470. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Betty Jean Kerr People'S Health Centers?
The Betty Jean Kerr People'S Health Centers is physically situated at 11642 W Florissant Ave, in the city of Florissant, state of MO, with the postal code 630336723.
What is the Betty Jean Kerr People'S Health Centers's specialty and taxonomy code?
The Betty Jean Kerr People'S Health Centers's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518095470 to Betty Jean Kerr People'S Health Centers?
The Centers for Medicare & Medicaid Services originally issued the 1518095470 to Betty Jean Kerr People'S Health Centers on 2007-03-01.
When was the information related to Betty Jean Kerr People'S Health Centers most recently updated or refreshed?
The details pertaining to the Betty Jean Kerr People'S Health Centers, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-13.
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