Organization Name: | BARNES JEWISH ST. PETERS HOSPITAL INC. |
NPI Number: | 1235148271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY A TRACY (PRESIDENT) |
Mailing Address: | 10 Hospital Dr Administration Saint Peters |
State: | MO US |
Postal Code: | 633761659 |
Phone Number: | 6369169000 |
Fax Number: | 3149963610 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |