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Organization

SLH VISTA, INC.

Active
Other names
Saint Louis University Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(818) 436-2267
Entity
Organization

Contact information

Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
Mailing address
PO BOX 741286, ATLANTA, GA 30374-1286
(678) 242-2002
(314) 577-8003

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
282N00000X
General Acute Care Hospital
Primary
441-7
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000443
HUMANA
05
000918629X
GA
05
010671907
MO
05
01400704
KY
05
11221A
SC
01
1333
BCBS OF MISSOURI
05
136563105
AR
05
154661601
TX
01
171
BCBS OF MISSOURI
05
1748722
LA
01
180984400
DEPT OF LABOR ACS
05
2600105
NC
05
2601052
VA
01
260105B000000
SECTION 1011
01
3284
COVENTRY HEALTH CARE GROU
Enumeration date
07/07/2006
Last updated
03/16/2021
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