Active NPI
Christian Hospital Northeast- Northwest
- General Acute Care Hospital
- Florissant, MO
National Provider Identifier
1366452930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 425-9
- Legal business name
- CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
- Practice address
- 1225 Graham Rd
Florissant, MO 63031-8014 - Phone
- (314) 653-5000
- Fax
- (314) 653-4153
- NPI assigned
- Aug 8, 2006
- Last updated
- May 2, 2008
- Organization subpart
- Yes
- Parent organization
- CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John N Katsianis
- Title
- Vice President Finance
- Phone
- (314) 653-5062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 425-9 | MO | Primary |
Addresses
Primary practice location
1225 Graham Rd
Florissant, MO 63031-8014
Mailing address
1225 Graham Rd
Florissant, MO 63031-8014
Phone (314) 653-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39 | Other | BLUE CROSS OF MO | |
| 39 | Other | BLUE CROSS OF IL | |
| 10490704 | Medicaid | MO | |
| 4356057893 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1366452930. Details of each certification follow.
Hospital certification: CCN 260159
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CHRISTIAN HOSPITAL NORTHWEST
- Certification status
- Terminated Voluntary: merger or closure, Nov 1, 2010
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Apr 29, 1968
- Last certification
- Feb 24, 2000
- Beds
- 223
- Ownership / control type
- Private (not for profit)
- Facility address
- 1225 Graham Road
Florissant, MO 63031
National Provider Directory
National Provider Directory- Part of
- Joan H Mass MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1366452930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 GRAHAM RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318014",
"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": "1225 GRAHAM RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318014",
"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": "2006-08-08",
"last_updated": "2008-05-02",
"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."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MO",
"license": "425-9",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MO",
"identifier": "39",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IL",
"identifier": "39",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10490704",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4356057893",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
- Chiropractic Wellness Connection of Florissant PLLC
- Russell John Chlysta
- Farah Ahmed Chohan, MD
- Christ Did It All in Home Services, LLC
- Christian Hospital Northeast Northwest (Family Care Pharmacy at Graham Medical Center)
- Christian Life Home Health Care
- Christian Life Home Health Care
- Christopher M Schrick OD LLC
- Jennifer Chronister, D.P.T
- Gerard G. Chrun, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.