1144238908 NPI number — BARNES JEWISH ST PETERS HOSPITAL INC

Table of content: (NPI 1144238908)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144238908 NPI number — BARNES JEWISH ST PETERS HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARNES JEWISH ST PETERS HOSPITAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BARNES-JEWISH ST PETERS HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144238908
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 HOSPITAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT PETERS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63376-1659
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-916-9000
Provider Business Mailing Address Fax Number:
314-996-3610

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT PETERS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63376-1659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-916-9000
Provider Business Practice Location Address Fax Number:
314-996-3610
Provider Enumeration Date:
08/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CALDER
Authorized Official First Name:
GINA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
636-916-9401

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  357-18 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 357-26 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 542139308 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0059999 . This is a "AETNA HMO/POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 102790 . This is a "HEALTH LINK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 13 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7676X7676 . This is a "HEALTHCARE USA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 012139309 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6350770 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 260191 . This is a "MERCY" identifier . This identifiers is of the category "OTHER".




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