=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144238908
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BARNES JEWISH ST PETERS HOSPITAL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2006
-----------------------------------------------------
Last Update Date | 12/16/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 HOSPITAL DR
-----------------------------------------------------
City | SAINT PETERS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63376-1659
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-916-9000
-----------------------------------------------------
Fax | 314-996-3610
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 HOSPITAL DR
-----------------------------------------------------
City | SAINT PETERS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63376-1659
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-916-9000
-----------------------------------------------------
Fax | 314-996-3610
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | GREGORY PATTERSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-996-8571
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 357-18
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 357-26
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------