Provider Demographics
NPI:1649299827
Name:BARNES JEWISH HOSPITAL
Entity type:Organization
Organization Name:BARNES JEWISH HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:IROVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-265-8874
Mailing Address - Street 1:1 BARNES-JEWISH HOSPITAL PLZ
Mailing Address - Street 2:MAILSTOP: 90-71-307
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1003
Mailing Address - Country:US
Mailing Address - Phone:314-362-0605
Mailing Address - Fax:314-362-5963
Practice Address - Street 1:1 BARNES-JEWISH HOSPITAL PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-747-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO421-10282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
008OtherTRICARE
MO010724201Medicaid
200331OtherHEALTHLINK
13212OtherGHP
2576788OtherAETNA
5020465OtherUNITED HEALTHCARE
2450391OtherCIGNA
5060409OtherUNITED HEALTHCARE
7698X1024OtherHEALTHCARE USA
MO010724201Medicaid
MO010724201Medicaid
2576788OtherAETNA