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Organization
CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
Active
Organization
CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
Active
Parent organization
CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST
Authorized official
MR. JOHN N KATSIANIS JR. (VICE PRESIDENT FINANCE)
(314) 653-5062
Entity
Organization
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-5000
(314) 653-4153
Mailing address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-5000
(314) 653-4153
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
425-9
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10490605
MEDICAID HEALTHCARE USA
—
01
—
26S180
CIGNA STATE OF IL
—
Enumeration date
08/04/2006
Last updated
10/17/2007
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