Healthcare Provider Details

I. General information

NPI: 1356959498
Provider Name (Legal Business Name): BARNES JEWISH WEST COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12634 OLIVE BLVD
CREVE COEUR MO
63141-6337
US

IV. Provider business mailing address

12634 OLIVE BLVD
CREVE COEUR MO
63141-6337
US

V. Phone/Fax

Practice location:
  • Phone: 314-996-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: GREGORY PATTERSON
Title or Position: PRESIDENT
Credential:
Phone: 314-362-5909