Basic Information
Provider Information
NPI: 1346520400
EntityType: 2
ReplacementNPI:  
OrganizationName: BARNES JEWISH HOSPITAL
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Mailing Information
Address1: 1 BARNES PLAZA
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631101003
CountryCode: US
TelephoneNumber: 3143625000
FaxNumber:  
Practice Location
Address1: 1 BARNES PLAZA
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631101003
CountryCode: US
TelephoneNumber: 3143625000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/22/2011
LastUpdateDate: 04/28/2014
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: MOUSER
AuthorizedOfficialFirstName: TERRA
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AuthorizedOfficialTitleorPosition: MANAGER, GME
AuthorizedOfficialTelephone: 3144548087
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X2011014863MOY HospitalsGeneral Acute Care Hospital 

No ID Information.


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