| Organization Name: | MISSOURI BAPTIST MEDICAL CENTER |
| NPI Number: | 1467461434 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY DESART (VICE PRESIDENT FINANCE AND CFO) |
| Mailing Address: | 3015 N Ballas Rd Saint Louis |
| State: | MO US |
| Postal Code: | 631312329 |
| Phone Number: | 3149965000 |
| Fax Number: | 3149963610 |
| NPI Enumeration Date: | 08/07/2006 |
| 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: | |