National Provider Identifier Database

LA CLINICA LATINO COMMUNITY HEALTH CENTERS
Voluntary or Charitable


Contact Information

LA CLINICA LATINO COMMUNITY HEALTH CENTERS
3646 FAIRVIEW AVE
SAINT LOUIS, MO63116-4747
Phone: 314-664-5565
Fax: 314-773-0709
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for LA CLINICA LATINO COMMUNITY HEALTH CENTERS

NPI Number 1871663559
Legal business name
LBN
LA CLINICA LATINO COMMUNITY HEALTH CENTERS
Authorized official DAVID CAMPBELL - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/09/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: R1H15

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LA CLINICA LATINO COMMUNITY HEALTH CENTERS

There are currently no reviews for LA CLINICA LATINO COMMUNITY HEALTH CENTERS


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