Healthcare Provider Details

I. General information

NPI: 1073729596
Provider Name (Legal Business Name): BARNES JEWISH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

9746 TWINCREST DR
SAINT LOUIS MO
63126-1526
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1934
  • Fax:
Mailing address:
  • Phone: 314-918-0714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number2007010299
License Number StateMO

VIII. Authorized Official

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