Organization
ST. LOUIS CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE M MCKEE (CFO)
(314) 454-6044
Entity
Organization
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6000
Mailing address
1 CHILDRENS PL, ADMINISTRATION, SUITE 3S-36, SAINT LOUIS, MO 63110-1002
(314) 454-6044
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
324-22
MO
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100693290A
—
OK
01
—
103176
HEALTH LINK
—
05
—
10930907
—
MO
05
—
112148105
—
AR
05
—
1440650
—
KY
01
—
167
MISSOURI BLUE CROSS
—
01
—
17268
GHP AND CMR
—
05
—
1737518
—
LA
01
—
5010193
UNITED HEALTHCARE
—
01
—
518802
AETNA
—
05
—
901450100
—
FL
05
—
936377
—
IA
05
—
95348
—
MS
05
—
HOS330IN
—
AL
Enumeration date
07/24/2006
Last updated
03/16/2021
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