Provider Demographics
NPI:1841547072
Name:BARNES-JEWISH HOSPITAL
Entity type:Organization
Organization Name:BARNES-JEWISH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-362-2812
Mailing Address - Street 1:18 S KINGSHIGHWAY BLVD
Mailing Address - Street 2:APT 9U
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-1356
Mailing Address - Country:US
Mailing Address - Phone:314-362-2809
Mailing Address - Fax:314-362-2806
Practice Address - Street 1:18 S KINGSHIGHWAY BLVD
Practice Address - Street 2:APT 9U
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1356
Practice Address - Country:US
Practice Address - Phone:314-362-2809
Practice Address - Fax:314-362-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5436783944281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital