La Clinica- Latino Community Health Centers
NPI #1649278896 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1649278896
- Entity Type
- Organization
- Organization Name
- La Clinica- Latino Community Health Centers
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3646 FAIRVIEW AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63116-4747
- Phone
- (314) 352-7400
Authorized Official
- Name
- DR. WILLIAM CHIGNOLI, M.D.
- Title
- FOUNDER AND C.E.O.
- Phone
- (314) 352-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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