| Gateway Kidney Care Ds, Llc | |
|
6400 Clayton Rd Ste 110 Richmond Heights MO 63117-1850 | |
| (720) 204-5760 | |
| Not Available |
| Full Name | Gateway Kidney Care Ds, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6400 Clayton Rd Ste 110, Richmond Heights, Missouri |
| Authorized Official Name and Position | Aaron Molitor (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7202045760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Kidney Care Ds, Llc 1600 Stout St Ste 2000 Denver CO 80202-3113 Ph: (720) 204-5760 | Gateway Kidney Care Ds, Llc 6400 Clayton Rd Ste 110 Richmond Heights MO 63117-1850 Ph: (720) 204-5760 |
| NPI Number | 1871250647 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 04/07/2022 |
| Medicare PECOS PAC ID | 8729469911 |
|---|---|
| Medicare Enrollment ID | O20220719003174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871250647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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