# BJC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376902932
- **Authorized official:** MR. EDWARD JIM VREDENBURGH III BSN (STAFF NURSE)
- **Authorized official phone:** (573) 268-2749

## Contact information

- **Practice address:** 11133 DUNN RD, SAINT LOUIS, MO 63136-6163
- **Practice address phone:** (314) 653-5000
- **Mailing address:** 92 ROTTINGHAM CT, EDWARDSVILLE, IL 62025-3685
- **Mailing address phone:** (573) 268-2749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 041.392442 | IL | — |
| 282N00000X | General Acute Care Hospital | 2001004428 | MO | Yes |

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 02/11/2016