St. Mary'S Health Center

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

2002001971 Issued in MO

Legal business name

ST. MARY'S HEALTH CENTER

Practice address

6420 Clayton Rd
Saint Louis, MO 63117-1811

Phone

(314) 768-8000

NPI assigned

Apr 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jan Axelbaum

Title

Internal Medicine Resident

Phone

(314) 862-6170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407076631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 STANFORD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303611",
            "telephone_number": "314-862-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "telephone_number": "314-768-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AXELBAUM",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "INTERNAL MEDICINE RESIDENT",
        "authorized_official_telephone_number": "314-862-6170",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "2002001971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Access Hospital in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Critical Access Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.