Provider Demographics
NPI:1780990754
Name:ST. ALEXIUS HOSPITAL CORPORATION 1
Entity type:Organization
Organization Name:ST. ALEXIUS HOSPITAL CORPORATION 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-256-7168
Mailing Address - Street 1:3933 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-4601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3933 S BROADWAY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-4601
Practice Address - Country:US
Practice Address - Phone:314-256-7355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. ALEXIUS HOSPITAL CORPORATION 1
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-27
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10635001Medicaid
MO10635001Medicaid