# DES PERES HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Hill Family Medicine L.L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366692915
- **Authorized official:** JAMESY CHARLES SMITH D.O. (PHYSICIAN)
- **Authorized official phone:** (573) 760-8605

## Contact information

- **Practice address:** 2345 DOUGHERTY FERRY RD, ATTENTION MEDICAL EDUCATION, SAINT LOUIS, MO 63122-3313
- **Practice address phone:** (314) 966-9491
- **Mailing address:** 1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
- **Mailing address phone:** (573) 756-6751
- **Mailing address fax:** (573) 756-6807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2008
- **Last updated:** 03/07/2023