BETTY JEAN KERR PEOPLE'S HEALTH CENTERS (NPI# 1841668688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841668688 |
| Entity Type | Organization |
| Organization Name | BETTY JEAN KERR PEOPLE'S HEALTH CENTERS |
| Other Organization Name | HEALTH CARE FOR KIDS |
| Practice Address |
4055 Lindell Blvd Saint Louis MO 63108-3201 |
| Practice Telephone | 3145357701 |
| Practice Fax Number | 3145350207 |
| Mailing Telephone | 3145357701 |
| Mailing Fax Number | 3145350207 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | MR. DWAYNE BUTLER (PRESIDENT & CEO) |
| Authorized Official Telephone | 3143677848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
N00015533 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health Care for Kids | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992117055 | Betty Jean Kerr People's Health Centers | Clinic/Center | 11300 Dunn Rd, Saint Louis, MO 63138-1047 | 2014-05-23 |
| 1780096941 | Betty Jean Kerr People's Health Centers | Clinic/Center | 6701 Saint Charles Rock Rd, Saint Louis, MO 63133-1705 | 2014-05-22 |
| 1770828956 | Betty Jean Kerr People's Health Centers | Clinic/Center | 10725 Vorhof Dr, Saint Louis, MO 63136-5731 | 2012-11-29 |
| 1750625257 | Betty Jean Kerr People's Health Centers | Clinic/Center | 3035 Cass Ave, Saint Louis, MO 63106-1533 | 2012-11-21 |
| 1588908008 | Betty Jean Kerr People's Health Centers | Clinic/Center | 310 N 15th St, Saint Louis, MO 63103-2378 | 2012-11-21 |
| 1639207590 | Betty Jean Kerr People's Health Centers | Clinic/Center | 7200 Manchester Rd, Maplewood, MO 63143-2403 | 2007-03-01 |
| 1518095470 | Betty Jean Kerr People's Health Centers | Clinic/Center | 11642 W Florissant Ave, Florissant, MO 63033-6723 | 2007-03-01 |
| 1578608808 | Betty Jean Kerr People's Health Centers | Pharmacy | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2007-02-21 |
| 1194797787 | Betty Jean Kerr People's Health Centers | Clinic/Center | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2006-02-07 |
| Street Address |
4055 LINDELL BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578554820 | Tattamangalam Chandrika | Pediatrics | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2005-11-03 |
| 1275177974 | Nathaniel Scott Hansen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-11-05 |
| 1225694672 | Byron Matthew Schroeder | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-05-10 |
| 1265925804 | Sheshaben A Shah | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2018-06-08 |
| 1073015517 | Justin Vance Sorensen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63018 | 2018-03-01 |
| 1588103840 | Kimberly Baptist | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2017-02-20 |
| 1487059721 | Ryan Goergen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2014-10-29 |
| 1992138564 | Christopher L Baker | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2013-08-18 |
| 1619265907 | Elizabeth Susan Lansford | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-07-20 |
| 1902104862 | Andrew Michael Reff | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584232 | Affinia Healthcare | Clinic/Center | 5421 Thekla Ave, Saint Louis, MO 63120-2513 | 2018-10-16 |
| 1003392697 | Affinia Healthcare | Clinic/Center | 2900 Washington Ave, Saint Louis, MO 63103-1306 | 2018-07-17 |
| 1053801282 | Carestl Health | Clinic/Center | 1218 Shepley Dr, Saint Louis, MO 63137 | 2018-05-14 |
| 1821517319 | Carestl Health | Clinic/Center | 3921 N. Newstead Ave, Saint Louis, MO 63115-2748 | 2017-09-15 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1710395611 | Affinia Healthcare | Clinic/Center | 1908 Ofallon St, Saint Louis, MO 63106-3259 | 2014-07-24 |
| 1992117055 | Betty Jean Kerr People's Health Centers | Clinic/Center | 11300 Dunn Rd, Saint Louis, MO 63138-1047 | 2014-05-23 |
| 1780096941 | Betty Jean Kerr People's Health Centers | Clinic/Center | 6701 Saint Charles Rock Rd, Saint Louis, MO 63133-1705 | 2014-05-22 |
| 1770828956 | Betty Jean Kerr People's Health Centers | Clinic/Center | 10725 Vorhof Dr, Saint Louis, MO 63136-5731 | 2012-11-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on BETTY JEAN KERR PEOPLE'S HEALTH CENTERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.