MEDICAL WEST HEALTHCARE CENTER LLC (NPI# 1689004103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689004103 |
Entity Type | Organization |
Organization Name | MEDICAL WEST HEALTHCARE CENTER LLC |
Practice Address |
4630 Mexico Rd Saint Peters MO 63376-1607 |
Mailing Address |
444 S Brentwood Blvd Clayton MO 63105-2521 |
Practice Telephone | 6364771888 |
Practice Fax Number | 6364771555 |
Mailing Telephone | 1437251888 |
Mailing Fax Number | 3147251444 |
Enumeration Date | 2013-11-19 |
Last Update Date | 2018-10-30 |
Authorized Official Name | KENNETH A SANDLER (OWNER/DIRECTOR) |
Authorized Official Telephone | 3149937920 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
18411550 | MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS BLUE SHIELD OF MISSOURI | 181658 | 01 |
MO | HEALTHLINK | 612829 | 01 |
MO | 626100101 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215367735 | Medical West Healthcare Center LLC | Durable Medical Equipment & Medical Supplies | 19 Ronnies Plz, Saint Louis, MO 63126-3552 | 2013-11-19 |
1922438449 | Medical West Healthcare Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 444 S Brentwood Blvd, Clayton, MO 63105-2521 | 2013-11-19 |
Street Address |
4630 MEXICO RD |
City | SAINT PETERS |
State | MO |
Zip Code | 63376-1607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033217880 | Medical West Pharmcay, Inc | Durable Medical Equipment & Medical Supplies | 4630 Mexico Rd, Saint Peters, MO 63376-1607 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
Find all providers in zip 63376 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821108168 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 91 Didion Dr, Saint Peters, MO 63376-3951 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033764618 | Veterans First Alliance | Durable Medical Equipment & Medical Supplies | 1005 N Kingshighway St Ste 10, Cape Girardeau, MO 63701-3502 | 2019-08-09 |
1750842233 | Adapthealth - Missouri LLC | Durable Medical Equipment & Medical Supplies | 1900 W Sunset St Ste C120, Springfield, MO 65807-6029 | 2019-03-27 |
1780148288 | Jkm Dme, Inc | Durable Medical Equipment & Medical Supplies | 2207 N Belt Hwy Ste G, Saint Joseph, MO 64506-2297 | 2019-01-29 |
1992226765 | Aerocare Home Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 5900 N Tower Dr Ste F, Columbia, MO 65202-9437 | 2017-07-03 |
1891154217 | Lester E Cox Medical Centers | Durable Medical Equipment & Medical Supplies | 1447 State Highway 248, Suite B, Branson, MO 65616-9656 | 2016-02-12 |
1023480027 | Medx Medical Equipment and Mobility | Durable Medical Equipment & Medical Supplies | 1638 N Corrington Ave, Kansas City, MO 64120-1946 | 2015-10-29 |
1578935227 | Greg Speiser | Durable Medical Equipment & Medical Supplies | 615 Cherokee Dr, Suite 8, Marshall, MO 65340-1681 | 2015-10-21 |
1396111258 | True Care Home Health Equipment Sales and Service LLC | Durable Medical Equipment & Medical Supplies | 1908 N Westwood Blvd, Suite B, Poplar Bluff, MO 63901-2808 | 2015-08-14 |
1720463755 | Cardinal Sleep LLC | Durable Medical Equipment & Medical Supplies | 2610 N Glenstone Ave, Springfield, MO 65803-4740 | 2015-07-20 |
1346635687 | Diamond Aire, LLC | Durable Medical Equipment & Medical Supplies | 1638 B Business Hwy 60 West, Dexter, MO 63841-2837 | 2015-04-03 |
Find all providers with the same taxonomy |
City | SAINT PETERS |
Zip Code | 63376 |
Please comment or provide details below to improve the information on MEDICAL WEST HEALTHCARE CENTER LLC.
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.