Healthcare Provider Details

I. General information

NPI: 1851509624
Provider Name (Legal Business Name): BARNES-JEWISH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 CHILDRENS PL BARNES-JEWISH HOSPITAL
SAINT LOUIS MO
63110-1000
US

IV. Provider business mailing address

4950 CHILDRENS PL
SAINT LOUIS MO
63110-1000
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-5060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number2006019894
License Number StateMO

VIII. Authorized Official

Name: TERRA MOUSER
Title or Position: MANAGER, GRADUATE MEDICAL EDUCATION
Credential:
Phone: 314-362-1934