Basic Information
| Provider Information | |||||||||
| NPI: | 1851509624 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BARNES-JEWISH HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4950 CHILDRENS PL | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631101000 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 4950 CHILDRENS PL | ||||||||
| Address2: | BARNES-JEWISH HOSPITAL | ||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631101000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3143625060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2007 | ||||||||
| LastUpdateDate: | 07/27/2007 | ||||||||
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| AuthorizedOfficialLastName: | MOUSER | ||||||||
| AuthorizedOfficialFirstName: | TERRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER, GRADUATE MEDICAL EDUCATION | ||||||||
| AuthorizedOfficialTelephone: | 3143621934 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 2006019894 | MO | Y | Hospitals | General Acute Care Hospital |
No ID Information.