Gateway Direct Primary Care Jv LLC
Clinic/Center in Creve Coeur, MO. Organization (NPI-2).
NPI number1548893530
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1548893530
- Entity type
- Organization (NPI-2)
- Legal business name
- Gateway Direct Primary Care Jv LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2020
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Marathon Health- Creve Coeur Mo- Olive Blvd (Doing Business As)
Practice location
11770 Olive BlvdCreve Coeur, MO 63141-7053
Phone 866-808-6005
Mailing address
1400 Wewatta St Ste 350Denver, CO 80202-5553
Authorized official
Jill Johnson Patton
Director Of Risk Management
7049365546
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