Healthcare Provider Details

I. General information

NPI: 1205928926
Provider Name (Legal Business Name): BARNES-JEWISH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S EUCLID AVE BOX 8086
SAINT LOUIS MO
63110-1010
US

IV. Provider business mailing address

4961 LACLEDE AVE APT 303
SAINT LOUIS MO
63108-1457
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1120
  • Fax:
Mailing address:
  • Phone: 314-367-2278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number2006025313
License Number StateMO

VIII. Authorized Official

Name: DR. SUSAN M. JOSEPH
Title or Position: FELLOW
Credential: M.D.
Phone: 314-362-5000