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Ambulatory Health Care Facilities Clinic/Center Federally Qualified Health Center (FQHC)

Provider NPI: 1891040077

Organization Information:
Organization is Subpart
Authorized Official:  SUSAN  CURFMAN  PRESIDENT/CEO  636-296-6206

Practice Location:
324 EMERSON RD  HIGH RIDGE, MO 63049-2542 US
Tel: 636-677-9977  Fax: 636-677-9179

Business Mailing Address:
227 E MAIN ST  FESTUS, MO 63028-1952 US
Tel: 636-931-2700  Fax: 636-931-1961

NPI Information:
NPI: 1891040077
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QF0400XAmbulatory Health Care Facilities
Federally Qualified Health Center (FQHC)

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QF0400X





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