Organization
INTENSIVA HOSPITAL OF GREATER ST. LOUIS INC
Active
Other names
Select Specialty Hospital - St. Louis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DUGGAN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(314) 768-3450
(314) 768-3002
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4582
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152517
BCBS MO
MO
05
—
16033607
—
MO
Enumeration date
07/27/2005
Last updated
09/10/2025
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