# THE JOHN D. BOUHASIN CENTER FOR CHILDREN WITH BLEEDING DISORDERS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH CARDINAL GLENNON CHILDRENS HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629525928
- **Legal business name:** SSM HEALTH CARDINAL GLENNON CHILDRENS HOSPITAL
- **Authorized official:** KAREN REWERTS (FINANCE SYSTEM VP)
- **Authorized official phone:** (314) 989-2034

## Contact information

- **Practice address:** 1465 S. GRAND, ST. LOUIS, MO 63104-1095
- **Practice address phone:** (314) 268-4000
- **Mailing address:** 1465 S. GRAND, ST. LOUIS, MO 63104-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2016
- **Last updated:** 09/02/2016