NPIMap

Organization Active NPI

Careatc-Saint Peter

  • Primary Care Clinic/Center
  • Saint Peters, MO
National Provider Identifier
1093267601
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC-SAINT PETER
Practice address
4601 Executive Centre Pkwy
Saint Peters, MO 63376-1683
Phone
(918) 779-7416
NPI assigned
Oct 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keith Gucwa
Title
Dir of Facilities and Purchasing
Phone
(918) 779-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4601 Executive Centre Pkwy
Saint Peters, MO 63376-1683

Mailing address

4601 Executive Centre Pkwy
Saint Peters, MO 63376-1683

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Indiana Packers Health Center117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4601 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 244-5890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477785600000",
    "number": "1093267601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXECUTIVE CENTRE PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXECUTIVE CENTRE PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761683",
            "telephone_number": "918-779-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC-SAINT PETER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A",
        "authorized_official_last_name": "GUCWA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIR OF FACILITIES AND PURCHASING",
        "authorized_official_telephone_number": "918-779-7416"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.