Provider Demographics
NPI:1447268495
Name:BARNES JEWISH WEST COUNTY HOSPITAL
Entity type:Organization
Organization Name:BARNES JEWISH WEST COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-362-5909
Mailing Address - Street 1:12634 OLIVE BLVD
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6337
Mailing Address - Country:US
Mailing Address - Phone:314-996-8000
Mailing Address - Fax:314-996-3610
Practice Address - Street 1:12634 OLIVE BLVD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6337
Practice Address - Country:US
Practice Address - Phone:314-996-8000
Practice Address - Fax:314-996-3610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0518719OtherAETNA HMO/POS
6350680OtherAETNA PPO
260162OtherMERCY
16OtherBLUE CROSS
MO542778402Medicaid
7723X7723OtherHEALTHCARE USA
MO012778403Medicaid
117292OtherHEALTHLINK
MO012778403Medicaid