Provider Demographics
NPI:1366796757
Name:BARNES JEWISH HOSPITAL
Entity type:Organization
Organization Name:BARNES JEWISH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MS
Authorized Official - First Name:AFOUSSATOU
Authorized Official - Middle Name:
Authorized Official - Last Name:BOIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-323-8434
Mailing Address - Street 1:1 BARNES PLAZA
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2180 SPLENDOR DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-2640
Practice Address - Country:US
Practice Address - Phone:314-323-8434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital