| NPI | 1740067719 |
|---|---|
| Doing Business As | AFFINIA HEALTHCARE FERGUSON |
| Entity Type | Organization |
| Authorized Contact | LESLIE O'CONNOR VP/CFO 314-814-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-11-16 |