GATEWAY DIRECT PRIMARY CARE JV LLC NPI 1154970127

NPI Information

GATEWAY DIRECT PRIMARY CARE JV LLC is a family medicine in Chesterfield, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GATEWAY DIRECT PRIMARY CARE JV LLC NPI is 1154970127. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1574 WOODLAKE DR
CHESTERFIELD, MO
ZIP 63017-712
Phone: (866) 808-6005

The provider's authorized official is Jill Johnson Patton .
The authorized official title is Director Of Risk Management and has the following contact phone number (704) 936-5546.

The CLIA number assigned to this NPI record is 26D2171968 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2019 and was last updated on 7/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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