ST. JOHN'S PEDIATRIC SERVICES; NPI #1679876734

Contact Information

ST. JOHN'S PEDIATRIC SERVICES

621 S NEW BALLAS RD
# 2003B
SAINT LOUIS, MO 63141-8232

Phone: 314-251-6299
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for ST. JOHN'S PEDIATRIC SERVICES

NPI Number 1679876734

LBN Legal business name ST. JOHN'S PEDIATRIC SERVICES

Authorized official JOESPH KAHN - (DEPARTMENT CHAIRMAN/SUPERVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/13/2010

Last updated 12/13/2010 - About 15 years ago

Identifiers

License #

2010034857

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST. JOHN'S PEDIATRIC SERVICES

Contact Information

Specialty

Children

NPI Profile & details for ST. JOHN'S PEDIATRIC SERVICES

Reviews for ST. JOHN'S PEDIATRIC SERVICES