Missouri Baptist Medical Center, NPI 1467461434
General Practice Physician in Saint Louis, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1467461434
NPI Entity Type Organization
Provider Name Missouri Baptist Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3015 N Ballas Rd, Saint Louis, MO, US
Provider Mailing Address 3015 N Ballas Rd, Saint Louis, MO, US, 631312329
Is Sole Proprietor? No
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Organization Official

Official Name MS. Amy Desart
Official Position VICE PRESIDENT FINANCE AND CFO
Phone 314-996-5119

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

208D00000X

Taxonomy Name General Practice Physician
Classification

General Practice

Group

Allopathic & Osteopathic Physicians

Description Definition to come...

Business Address

Missouri Baptist Medical Center
3015 N Ballas Rd

Saint Louis, MO, US

Phone: 314-996-5000
Fax: 314-996-3610

Mailing Address

Missouri Baptist Medical Center
3015 N Ballas Rd
Saint Louis, MO, US
ZIP 631312329
Phone: 314-996-5000
Fax: 314-996-3610

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

282N00000X

Hospitals

General Acute Care Hospital

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
103189 HEALTH LINK 01
540419306 MO MEDICAID 05
6350715 AETNA PPO 01
109 BLUE CROSS 01
5000192 UNITED HEALTH CARE 01
010419307 MO MEDICAID 05
260108 MERCY HEALTH PLANS 01
0536913 AETNA HMO 01

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NPI Name Taxonomy Address

1679982664

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Organization

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Odyssey Healthcare Of Kansas City Llc

Organization

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PT, DPT Klaire Hart Phillips

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DR. MD Douglas James Cassidy

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Div Surg Mis

Saint Louis, MO

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FNP-C Kyle Douglas Gronberg

Individual

Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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