Provider Demographics
NPI:1144238908
Name:BARNES JEWISH ST PETERS HOSPITAL INC
Entity Type:Organization
Organization Name:BARNES JEWISH ST PETERS HOSPITAL INC
Other - Org Name:BARNES-JEWISH ST PETERS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:636-916-9401
Mailing Address - Street 1:10 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1659
Mailing Address - Country:US
Mailing Address - Phone:636-916-9000
Mailing Address - Fax:314-996-3610
Practice Address - Street 1:10 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1659
Practice Address - Country:US
Practice Address - Phone:636-916-9000
Practice Address - Fax:314-996-3610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO357-18282N00000X
MO357-26282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO542139308Medicaid
0059999OtherAETNA HMO/POS
102790OtherHEALTH LINK
13OtherBLUE CROSS
7676X7676OtherHEALTHCARE USA
MO012139309Medicaid
6350770OtherAETNA PPO
260191OtherMERCY
13OtherBLUE CROSS