Organization
CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN C KOESTERER (VICE PRESIDENT FINANCE)
(314) 653-5715
Entity
Organization
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-5000
(314) 653-4153
Mailing address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-5000
(314) 653-4153
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10490605
—
MO
Enumeration date
08/04/2006
Last updated
03/18/2021
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