Provider Demographics
NPI:1821006354
Name:BARNES JEWISH ST. PETERS HOSPITAL
Entity Type:Organization
Organization Name:BARNES JEWISH ST. PETERS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-916-9402
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?:Yes
Parent Organization LBN:BARNES JEWISH ST PETERS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-03
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO357-18314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0059999OtherAETNA HMO/POS
107313OtherBLUE CROSS
260191OtherMERCY
7676X7676OtherHEALTHCARE USA
102790OtherHEALTH LINK
6350770OtherAETNA PPO
260191OtherMERCY