Provider Demographics
NPI:1841208170
Name:BARNES JEWISH WEST COUNTY HOSPITAL
Entity Type:Organization
Organization Name:BARNES JEWISH WEST COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-996-8400
Mailing Address - Street 1:12634 OLIVE BLVD
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6337
Mailing Address - Country:US
Mailing Address - Phone:314-996-8000
Mailing Address - Fax:314-996-3610
Practice Address - Street 1:12634 OLIVE BLVD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6337
Practice Address - Country:US
Practice Address - Phone:314-996-8000
Practice Address - Fax:314-996-3610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO368-16314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
16OtherBLUE CROSS
0518719OtherAETNA HMO/POS
7723X7723OtherHEALTHCARE USA
117292OtherHEALTH LINK
6350680OtherAETNA PPO
260162OtherMERCY
7723X7723OtherHEALTHCARE USA