Organization
ST. MARY'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN AXELBAUM (INTERNAL MEDICINE RESIDENT)
(314) 862-6170
Entity
Organization
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8000
Mailing address
7805 STANFORD AVE, SAINT LOUIS, MO 63130-3611
(314) 862-6170
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2002001971
MO
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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