Healthcare Provider Details

I. General information

NPI: 1437178522
Provider Name (Legal Business Name): BARNES JEWISH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CORPORATE PARK DR MAIL STOP #91
SAINT LOUIS MO
63105-4201
US

IV. Provider business mailing address

401 CORPORATE PARK DR MAIL STOP #91
SAINT LOUIS MO
63105-4201
US

V. Phone/Fax

Practice location:
  • Phone: 314-725-7447
  • Fax:
Mailing address:
  • Phone: 314-854-1154
  • Fax: 314-854-1174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number031951
License Number StateMO

VIII. Authorized Official

Name: MR. MARK KRIEGER
Title or Position: VICE-PRESIDENT AND CFO
Credential:
Phone: 314-854-1174