Organization Name: | CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST |
NPI Number: | 1265440150 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN C KOESTERER (VICE PRESIDENT FINANCE) |
Mailing Address: | 11133 Dunn Rd Saint Louis |
State: | MO US |
Postal Code: | 631366119 |
Phone Number: | 3146535000 |
Fax Number: | 3146534153 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 05/16/2016 |
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: |