Provider Demographics
NPI:1689828501
Name:CHRISTIAN HOSPITAL PHYSICIAN BILLING SERVICES LLC
Entity Type:Organization
Organization Name:CHRISTIAN HOSPITAL PHYSICIAN BILLING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KOESTERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-653-5715
Mailing Address - Street 1:11155 DUNN RD
Mailing Address - Street 2:MAILSTOP 97-CHNE
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-6150
Mailing Address - Country:US
Mailing Address - Phone:314-653-5715
Mailing Address - Fax:314-653-4162
Practice Address - Street 1:11125 DUNN RD STE 204
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6188
Practice Address - Country:US
Practice Address - Phone:314-653-5066
Practice Address - Fax:314-653-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA1402Medicare Oscar/Certification