NPIMap

Organization Active NPI

Affinia Healthcare

Doing business as Affinia At St. Louis Regional Infusion Center

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
National Provider Identifier
1184386377
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AFFINIA HEALTHCARE
Doing business as
Affinia At St. Louis Regional Infusion Center
Practice address
2125 Bissell St
Saint Louis, MO 63107-1406
Phone
(660) 829-6647
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2125 Bissell St
Saint Louis, MO 63107-1406

Mailing address

PO Box 551
Saint Louis, MO 63188-0551
Phone (314) 814-8531

Other names 2

  • Affinia At St. Louis Regional Infusion Center Doing business as
  • Affinia At The St. Louis Regional Infusion Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ritad@affiniahealthcare.org

National Provider Directory

National Provider Directory
Tax ID family
Affinia Healthcare21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1184386377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631880551",
            "telephone_number": "314-814-8531",
            "fax_number": "314-814-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BISSELL ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071406",
            "telephone_number": "660-829-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINIA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "CORINTHIA",
        "authorized_official_middle_name": "DARCEL",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "314-814-8531"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ritad@affiniahealthcare.org",
            "affiliation": "N",
            "address_1": "2125 Bissell St",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631071406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Affinia At St. Louis Regional Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affinia At The St. Louis Regional Infusion Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.