1649299827 NPI number — BARNES JEWISH HOSPITAL

Table of content: (NPI 1649299827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649299827 NPI number — BARNES JEWISH HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARNES JEWISH HOSPITAL
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 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:
1649299827
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 BARNES-JEWISH HOSPITAL PLZ
Provider Second Line Business Mailing Address:
MAILSTOP: 90-71-307
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63110-1003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-362-0605
Provider Business Mailing Address Fax Number:
314-362-5963

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 BARNES-JEWISH HOSPITAL PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63110-1003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-747-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KRIEGER
Authorized Official First Name:
MARK
Authorized Official Middle Name:
H
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
314-362-0605

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  421-10 , 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: 010724201 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5020465 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 008 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5060409 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2450391 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 13212 . This is a "GHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7698X1024 . This is a "HEALTHCARE USA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200331 . This is a "HEALTHLINK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2576788 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 114439600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".