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
273Y00000X
Rehabilitation Hospital Unit
Primary
425-9
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103187
HEALTHLINK
—
05
—
10490605
—
MO
01
—
39
BLUE CROSS OF IL
—
01
—
5020061
UNITED HEALTHCARE
—
01
—
769
GHP
—
Enumeration date
08/04/2006
Last updated
03/18/2021
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