Organization
ST LOUIS CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISHA LOLLO (PRESIDENT)
(314) 996-8401
Entity
Organization
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 286-2373
(314) 286-2693
Mailing address
PO BOX 956190, SAINT LOUIS, MO 63195-0001
(314) 286-2373
(314) 286-2693
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
324-26
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100693290A
—
OK
01
—
103176
HEALTH LINK
—
05
—
10930907
—
MO
05
—
112148105
—
AR
05
—
1440650
—
KY
01
—
167
MISSOURI BLUE CROSS
—
01
—
17268
GHP AND CMR
—
05
—
1737518
—
LA
01
—
5010193
UNITED HEALTHCARE
—
01
—
518802
AETNA
—
05
—
800930901
—
MO
05
—
901450100
—
FL
05
—
936377
—
IA
05
—
95348
—
MS
05
—
HOS330IN
—
AL
Enumeration date
07/22/2006
Last updated
03/16/2021
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