Organization
CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
Active
Parent organization
CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST
Authorized official
MR. JOHN N KATSIANIS (VICE PRESIDENT FINANCE)
(314) 653-5062
Entity
Organization
Contact information
Practice address
1225 GRAHAM RD, FLORISSANT, MO 63031-8014
(314) 653-5000
(314) 653-4153
Mailing address
1225 GRAHAM RD, FLORISSANT, MO 63031-8014
(314) 653-5000
(314) 653-4153
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
425-9
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10490704
—
MO
01
—
39
BLUE CROSS OF MO
—
01
—
4356057893
AETNA
—
Enumeration date
08/08/2006
Last updated
05/02/2008
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