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Organization
SA HOSPITAL ACQUISITION GROUP, LLC
Active
Organization
SA HOSPITAL ACQUISITION GROUP, LLC
Active
Other names
South City Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA DEFILIPPI (CEO)
(314) 865-7917
Entity
Organization
Contact information
Practice address
3933 SOUTH BROADWAY STREET, ST LOUIS, MO 63118-4601
(314) 865-7902
(314) 865-7938
Mailing address
3933 SOUTH BROADWAY STREET, ST LOUIS, MO 63118-4601
(314) 865-7902
(314) 865-7938
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
512-1
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010635001
—
MO
Enumeration date
07/14/2005
Last updated
03/29/2023
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