GATEWAY DIRECT PRIMARY CARE JV LLC


Address: 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938
Phone: 3143803014

GATEWAY DIRECT PRIMARY CARE JV LLC (NPI# 1548893530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548893530
Entity Type Organization
Organization Name GATEWAY DIRECT PRIMARY CARE JV LLC
Practice Address 1015 Corporate Square Dr Ste 101
Saint Louis
MO 63132-2938
Mailing Address 1400 Wewatta St Ste 350
Denver
CO 80202-5553
Practice Telephone 3143803014
Enumeration Date 2020-02-18
Last Update Date 2020-02-18
Authorized Official Name TRACY STEVENS (MBR)
Authorized Official Telephone 3037044124
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Gateway Direct Primary Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154970127 Gateway Direct Primary Care Jv LLC Family Medicine 1574 Woodlake Dr, Chesterfield, MO 63017-5712 2019-09-11

Office Location

Street Address 1015 CORPORATE SQUARE DR STE 101
City SAINT LOUIS
State MO
Zip Code 63132-2938

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811505712 Takesha Sharice Gates Home Health 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 2020-07-16
1962042440 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 9665 Page Avenue, Overland, MO 63132 2020-01-13
1538715354 Katharine M Rug Dietitian, Registered 1177 North Warson Rd, St. Louis, MO 63132 2019-08-16
1194295964 Rivka Goldenhersh, D.m.d., LLC Dentist 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 2018-12-04
1265902829 Danica Dupree Behavior Technician 1322 Baur Blvd, Olivette, MO 63132 2018-11-27
1598277766 Carol Lynne Oliver Counselor 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 2017-10-27
1972053783 Rebecca Newel Counselor 9378 Olive Blvd Ste 312, Olivette, MO 63132 2016-10-05
1942654074 Felicia Harris Durable Medical Equipment & Medical Supplies 10096 Page Blvd, St Loius, MO 63132 2016-04-14
1518328087 Joseph Franklin Doney Counselor 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 2016-03-11
1528428141 Visiting Personal Care Attendants Nursing Care 9270 Olive Blvd Ste A, Olivette, MO 63132 2016-02-24
Find all providers in zip 63132

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871112102 Thrive St. Louis, Inc Clinic/Center 4331 Lindell Blvd, Saint Louis, MO 63108-2701 2020-04-16
1740722230 Saint Louis Allergy and Asthma Lc Clinic/Center 6651 Chippewa St Ste 312, Saint Louis, MO 63109-2532 2016-11-15
1609245448 Carestl Health Clinic/Center 4500 Pope Ave, Saint Louis, MO 63115-2512 2015-09-23
1538586037 Advanced Cardiovascular Center LLC Clinic/Center 2335 Dougherty Ferry Rd, Suite A, Saint Louis, MO 63122-3313 2014-03-21
1871865881 North County Health Care, Inc Clinic/Center 9231 West Florissant, Saint Louis, MO 63136-1432 2012-02-07
1013195478 Union Manor Residential Care Facility Clinic/Center 2711 Union Blvd, Saint Louis, MO 63113-1003 2008-02-07
1497771653 Instaclinic, LLC Clinic/Center 10805 Sunset Office Dr, Suite 300, Saint Louis, MO 63127-1017 2006-07-14
1508867508 Family Care Health Centers Clinic/Center 401 Holly Hills Ave, Saint Louis, MO 63111-2410 2005-08-02
1346847233 Washington University Clinic/Center 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 2020-10-05
1477104487 Mmcmllc Clinic/Center 4173 Crescent Dr Ste A, Saint Louis, MO 63129-1082 2019-09-23
Find all providers in SAINT LOUIS

Competitor

Search similar providers

City SAINT LOUIS
Zip Code 63132

Improve Information

Please comment or provide details below to improve the information on GATEWAY DIRECT PRIMARY CARE JV LLC.

Dataset Information

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.

Trending Searches