West County Family Medicine, Inc

LBN: West County Family Medicine, Inc
West County Family Medicine, Inc is an health care organization with primary practice located at 2355 Dougherty Ferry Rd Ste 320, Saint Louis MO 63122-3325. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. West County Family Medicine, Inc can be contacted via phone (314) 821-6889, or through Kantor, David Norman via phone (314) 821-6889.

Contact Information

Primary practice address
2355 Dougherty Ferry Rd Ste 320 Saint Louis MO 63122-3325
Fax: (314) 821-1887
Website:
Authorized official contact:
Name: Kantor, David Norman Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X R8687 Missouri

Profile Details

NPI number 1598823478
LBN Legal business name West County Family Medicine, Inc
DBA Doing business as
Authorized official Kantor, David Norman Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated May 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598823478 NPPES
Missouri MEDICAID 240189704

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