# MEDICAL WEST HEALTHCARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quipt Home Medical Clayton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922438449
- **Authorized official:** GREGORY J CRAWFORD (CEO)
- **Authorized official phone:** (859) 441-8876

## Contact information

- **Practice address:** 444 S BRENTWOOD BLVD, CLAYTON, MO 63105-2521
- **Practice address phone:** (314) 725-1888
- **Practice address fax:** (314) 725-1444
- **Mailing address:** 1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
- **Mailing address phone:** (859) 441-8876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | MO | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 18411550 | MO | Yes |

## Other

- **Enumeration date:** 11/19/2013
- **Last updated:** 05/21/2024