WEST COUNTY FAMILY MEDICINE INC NPI 1598823478

NPI Information

NPI: 1598823478
Provider Name: WEST COUNTY FAMILY MEDICINE, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2355 DOUGHERTY FERRY RD
STE 320
SAINT LOUIS, MO
ZIP 63122
Phone: (314) 821-6889
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WEST COUNTY FAMILY MEDICINE, INC is a primary care clinic center in Saint Louis, MO. WEST COUNTY FAMILY MEDICINE, INC NPI is 1598823478. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2355 DOUGHERTY FERRY RD
STE 320
SAINT LOUIS, MO
ZIP 63122-325
Phone: (314) 821-6889
Fax: (314) 821-1887

The provider's authorized official is David Norman Kantor .
The authorized official title is President, Physician and has the following contact phone number (314) 821-6889.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/5/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QP2300X	Clinic/Center	Primary Care	R8687	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	240189704	MEDICAID	MISSOURI
2	000015645	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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