Provider Demographics
NPI:1245527068
Name:BARNES JEWISH HOSPITAL
Entity type:Organization
Organization Name:BARNES JEWISH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:AARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOORYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-703-3751
Mailing Address - Street 1:4460 GREENWICH CT
Mailing Address - Street 2:APT B9
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2558
Mailing Address - Country:US
Mailing Address - Phone:248-703-3751
Mailing Address - Fax:
Practice Address - Street 1:4460 GREENWICH CT
Practice Address - Street 2:APT B9
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2558
Practice Address - Country:US
Practice Address - Phone:248-703-3751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011016798282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital