Organization
STATE OF MISSOURI
Active
Parent organization
STATE OF MISSOURI
Other names
Hawthorn Children's Psychiatric Hosptial
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSOURI
Authorized official
MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
(573) 751-4055
Entity
Organization
Contact information
Practice address
1901 PENNSYLVANIA AVE, SAINT LOUIS, MO 63133-1325
(314) 512-7800
(314) 512-7812
Mailing address
PO BOX 687, JEFFERSON CITY, MO 65102-0687
(573) 751-3398
(573) 526-4560
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
EXEMPT
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021774005
—
MO
Enumeration date
11/09/2006
Last updated
10/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us