Active NPI
Betty Jean Kerr People's Health Centers
Doing business as Health Care for Kids
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- N00015533
- Legal business name
- BETTY JEAN KERR PEOPLE'S HEALTH CENTERS
- Practice address
- 5647 Delmar Blvd.
St. Louis, MO 63112-2617 - Phone
- (314) 535-7701
- Fax
- (314) 535-0385
- NPI assigned
- Sep 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Sanford
- Title
- Executive Vice President
- Phone
- (314) 367-7848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | N00015533 | MO | Primary |
Addresses
Primary practice location
5647 Delmar Blvd.
St. Louis, MO 63112-2617
Mailing address
5701 Delmar Blvd.
St. Louis, MO 63112-2617
Phone (314) 367-7848
Other names 1
- Health Care for Kids
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031107000168 | MO | Part B Supplier - Clinic/Group Practice | 5991618837 |
Receives reassigned benefits from 51 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ferguson, MO; Florissant, MO; Saint Louis, MO |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1194797787
O20031107000168
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1679604318
O20031107000168
-
dba People's Healthcare Services
- Federally Qualified Health Center (FQHC)
- Ferguson, MO
- NPI 1457862708
O20031107000168
National Provider Directory
National Provider DirectoryLocations
4055 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 535-7701
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Nurse Practitioner
- Saint Louis, MO
- NPI 1710159512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656979200000",
"number": "1841668688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 DELMAR BLVD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631122617",
"telephone_number": "314-367-7848",
"fax_number": "314-367-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5647 DELMAR BLVD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631122617",
"telephone_number": "314-535-7701",
"fax_number": "314-535-0385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETTY JEAN KERR PEOPLE'S HEALTH CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-10",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "314-367-7848",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "MO",
"license": "N00015533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Care for Kids",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Health Care for Kids",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Saint Louis, MO
- Betty Jean Kerr People's Health Centers (Vashon High School)
- Betty Jean Kerr People's Health Centers (YWCA Head Start)
- Betty Jean Kerr People's Health Centers (Normandy High School)
- Betty Jean Kerr People's Health Centers
- Betty Jean Kerr People's Health Centers
- Betty Jean Kerr People's Health Centers (Hazelwood East High School)
- Betty Jean Kerr People's Health Centers
- Betty Jean Kerr People's Health Centers, Inc.
- Betty Jean Kerr People's Health Centers, Inc.
- Betty's Miracle Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.