NPIMap

Organization Active NPI

Careatc-St. Louis

  • Primary Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1164976494
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC-ST. LOUIS
Practice address
12633 Olive Blvd
Saint Louis, MO 63141-6313
Phone
(918) 779-7400
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Keith Gucwa
Title
Director of Purchasing and Faciliti
Phone
(918) 779-7416

Specialties & licenses 1

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

Addresses

Primary practice location

12633 Olive Blvd
Saint Louis, MO 63141-6313

Mailing address

12633 Olive Blvd
Saint Louis, MO 63141-6313

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Evansville Clinic118 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

12633 Olive Blvd
Saint Louis, MO 63141
Phone (314) 205-1988

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1164976494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12633 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12633 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "918-779-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC-ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "GUCWA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR OF PURCHASING AND FACILITI",
        "authorized_official_telephone_number": "918-779-7416"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.