Healthcare Provider Details

I. General information

NPI: 1609590686
Provider Name (Legal Business Name): BARNES JEWISH CHRISTIAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11102 LINDBERGH BUSINESS CT
SAINT LOUIS MO
63123-7810
US

IV. Provider business mailing address

11102 LINDBERGH CT
SAINT LOUIS MO
63123-7810
US

V. Phone/Fax

Practice location:
  • Phone: 314-206-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDON SOILEAU
Title or Position: COMMUNITY SUPPORT SPECIALIST
Credential:
Phone: 409-330-2322