| Organization Name: | BJC-HEALTHSOUTH REHABILITATION CENTER, LLC |
| NPI Number: | 1770557431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT WISNER (VICE PRESIDENT) |
| Mailing Address: | 4455 Duncan Ave Saint Louis |
| State: | MO US |
| Postal Code: | 631101111 |
| Phone Number: | 3146583800 |
| Fax Number: | 3145341132 |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | 467-3 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |