Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GLOSS FACHE (ADMINISTRATOR)
(314) 432-3600
Entity
Organization
Contact information
Practice address
4400 CLAYTON AVENUE, ST. LOUIS, MO 63110-1624
(314) 432-3600
(314) 432-2930
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
142-53
MO
Other
Enumeration date
02/14/2007
Last updated
06/08/2015
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