NPIMap

Organization Active NPI

Christian Hospital Northeast- Northwest

  • Psychiatric Hospital Unit
  • Saint Louis, MO
National Provider Identifier
1356359244
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
425-9 Issued in MO
Legal business name
CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
Practice address
11133 Dunn Rd
Saint Louis, MO 63136-6119
Phone
(314) 653-5000
Fax
(314) 653-4153
NPI assigned
Aug 4, 2006
Organization subpart
Yes
Parent organization
CHRISTIAN HOSPITAL NORTHEAST-NORTHWESTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mr. John N Katsianis Jr.
Title
Vice President Finance
Phone
(314) 653-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 425-9 MO Primary

Addresses

Primary practice location

11133 Dunn Rd
Saint Louis, MO 63136-6119

Mailing address

11133 Dunn Rd
Saint Louis, MO 63136-6119
Phone (314) 653-5000

Other identifiers 3

IdentifierTypeStateIssuer
10490605OtherMEDICAID HEALTHCARE USA
26S180OtherCIGNA STATE OF IL
26S180OtherMERCY HEALTHPLAN

National Provider Directory

National Provider Directory
Part of
St Peters Emergency Phy

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1356359244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366119",
            "telephone_number": "314-653-5000",
            "fax_number": "314-653-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366119",
            "telephone_number": "314-653-5000",
            "fax_number": "314-653-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "KATSIANIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "314-653-5062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MO",
            "license": "425-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HEALTHCARE USA",
            "identifier": "10490605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA STATE OF IL",
            "identifier": "26S180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTHPLAN",
            "identifier": "26S180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 17, 2007; 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.