Provider Demographics
NPI:1083922496
Name:BARNES JEWISH HOSPITAL
Entity Type:Organization
Organization Name:BARNES JEWISH HOSPITAL
Other - Org Name:BJC HEALTHCARE SYSTEM
Other - Org Type:Other Name
Authorized Official - Title/Position:CARDIAC SURGERY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMIANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:314-362-7327
Mailing Address - Street 1:11045 WESTPORT STATION DR APT G
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-2747
Mailing Address - Country:US
Mailing Address - Phone:618-977-4568
Mailing Address - Fax:
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-747-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010029875282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital