Provider Demographics
NPI:1508938044
Name:PROGRESS WEST HEALTHCARE CENTER
Entity Type:Organization
Organization Name:PROGRESS WEST HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-916-9401
Mailing Address - Street 1:2 PROGRESS POINT PARKWAY
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-2208
Mailing Address - Country:US
Mailing Address - Phone:636-344-2400
Mailing Address - Fax:636-344-1124
Practice Address - Street 1:2 PROGRESS POINT PARKWAY
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2208
Practice Address - Country:US
Practice Address - Phone:636-344-2400
Practice Address - Fax:636-344-1124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
260219Medicare Oscar/Certification