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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