Organization
FOREST PARK HOSPITAL CORPORATION
Active
Other names
DPG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J O'KEEFE (INTERIM CHIEF EXECUTIVE OFFICER)
(314) 768-3699
Entity
Organization
Contact information
Practice address
6150 OAKLAND AVE, SAINT LOUIS, MO 63139-3215
(314) 768-3090
(314) 768-3940
Mailing address
531 PEBBLE BROOK LN, HMAI, BELLEVILLE, IL 62221-7609
(618) 779-5508
(618) 206-8588
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509458303
—
MO
Enumeration date
05/08/2006
Last updated
11/24/2009
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