Provider Demographics
NPI:1861761330
Name:BARNES JEWISH HOSPITAL
Entity type:Organization
Organization Name:BARNES JEWISH HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DETERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DMGT, RN
Authorized Official - Phone:314-747-0770
Mailing Address - Street 1:216 S KINGSHIGHWAY BLVD
Mailing Address - Street 2:MS 90-33-630
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1026
Mailing Address - Country:US
Mailing Address - Phone:314-747-0770
Mailing Address - Fax:314-286-0745
Practice Address - Street 1:216 S KINGSHIGHWAY BLVD
Practice Address - Street 2:MS 90-33-630
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1026
Practice Address - Country:US
Practice Address - Phone:314-747-0770
Practice Address - Fax:314-286-0745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology