Organization · Type 2 NPI

Gateway Direct Primary Care JV LLC

Clinic/Center · Creve Coeur, MO

NPI number 1548893530 Active

Practice location

11770 Olive Blvd
Creve Coeur, MO 63141-7053

Call (866) 808-6005 Map

Mailing address

1400 Wewatta St Ste 350
Denver, CO 80202-5553

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

Other clinic/center providers in Creve Coeur

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NPI record

NPI: 1548893530
Entity type: Organization (Type 2)
Issued: Feb 18, 2020
Last updated: Sep 17, 2026
Status: Active

Other names

<unavail>
Gateway Direct Primary Care · doing business as
Marathon Health- Creve Coeur Mo- Olive BLVD · doing business as

Authorized official

Jill Johnson Patton
Director of Risk Management
(704) 936-5546

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About NPI 1548893530

Gateway Direct Primary Care JV LLC's National Provider Identifier is 1548893530, issued on Feb 18, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Creve Coeur, MO. The record was last updated on Sep 17, 2026.