| NPI | 1730206665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MAURICE JOHNSON Resident 314-362-2978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MO 2004015400) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |