| Christian Hospital Northeast- Northwest | |
|
11133 Dunn Rd Saint Louis MO 63136-6119 | |
| (314) 653-5000 | |
| (314) 653-4153 |
| Full Name | Christian Hospital Northeast- Northwest |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 11133 Dunn Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | John N Katsianis (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 3146535062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Hospital Northeast- Northwest 11133 Dunn Rd Saint Louis MO 63136-6119 Ph: (314) 653-5000 | Christian Hospital Northeast- Northwest 11133 Dunn Rd Saint Louis MO 63136-6119 Ph: (314) 653-5000 |
| NPI Number | 1356359244 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356359244 | NPI | - | NPPES |
| 10490605 | Other | MEDICAID HEALTHCARE USA | |
| 26S180 | Other | CIGNA STATE OF IL | |
| 26S180 | Other | MERCY HEALTHPLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 425-9 (Missouri) | Primary |
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