Organization Active NPI

Sa Hospital Acquisition Group, LLC

Doing business as South City Hospital

  • Psychiatric Hospital Unit
  • Saint Louis, MO
National Provider Identifier
1023017746
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
512-1 Issued in MO
Legal business name
SA HOSPITAL ACQUISITION GROUP, LLC
Doing business as
South City Hospital
Practice address
3933 South Broadway Street
St Louis, MO 63118-4601
Phone
(314) 865-7902
Fax
(314) 865-7938
NPI assigned
Jul 14, 2005
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bianca Defilippi
Title
Ceo
Phone
(314) 865-7917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 512-1 MO Primary

Addresses

Primary practice location

3933 South Broadway Street
St Louis, MO 63118-4601

Mailing address

3933 South Broadway Street
St Louis, MO 63118-4601
Phone (314) 865-7902

Other identifiers 1

IdentifierTypeStateIssuer
010635001MedicaidMO

Other names 1

  • South City Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

2639 Miami St
Saint Louis, MO 63118
Phone (314) 268-6195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1023017746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 SOUTH BROADWAY STREET",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631184601",
            "telephone_number": "314-865-7902",
            "fax_number": "314-865-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 SOUTH BROADWAY STREET",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631184601",
            "telephone_number": "314-865-7902",
            "fax_number": "314-865-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA HOSPITAL ACQUISITION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "DEFILIPPI",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-865-7917"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MO",
            "license": "512-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010635001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South City Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.