Medical West Healthcare Center LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

18411550 Issued in MO

Legal business name

MEDICAL WEST HEALTHCARE CENTER LLC

Practice address

444 S Brentwood Blvd
Clayton, MO 63105-2521

Phone

(314) 725-1888

Fax

(314) 725-1444

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Gregory J Crawford

Title

Ceo

Phone

(859) 441-8876

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Quipt Home Medical Clayton Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Medical West Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1902881956

  Member Of

  NPD member
• Medical West Respiratory Central, LLC

  • Oxygen Equipment & Supplies (DME)
  • Independence, MO
  • NPI 1780908020

  Member Of

  NPD member
• Compass Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Crestview Hills, KY
  • NPI 1497852776

  Member Of

  NPD member

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1922438449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114",
            "telephone_number": "859-441-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S BRENTWOOD BLVD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052521",
            "telephone_number": "314-725-1888",
            "fax_number": "314-725-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WEST HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MO",
            "license": "18411550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626100101",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "181658",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "612829",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quipt Home Medical Clayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A McMullen
• Mdpmo Physicians, P.C.
• Med Clinical Practice LLC
• Medi-Plex DME Plus, LLC
• Medical Arts Pharmacy
• Medical West Podiatry LTD Medical West BLDG
• Medical West Respiratory Pharmacy, LLC
• Hayley Menges, LCSW
• Mercyone CDS Home Health Care LLC
• Dana Merris, FNP-BC

• All providers in Clayton, MO
• Oxygen Equipment & Supplies (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.