Organization Active NPI

Des Peres Hospital, Inc.

  • General Acute Care Hospital
  • Saint Louis, MO
National Provider Identifier
1407886385
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
437-8 Issued in MO
Legal business name
DES PERES HOSPITAL, INC.
Doing business as
Des Peres Hospital
Practice address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone
(314) 966-9100
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Mr. Craig C. Armin
Title
VP of Govt Programs, Tenet
Phone
(818) 436-2267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 437-8 MO Primary

Addresses

Primary practice location

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Mailing address

PO Box 741263
Atlanta, GA 30374-1263
Phone (678) 242-2002

Other identifiers 13

IdentifierTypeStateIssuer
430OtherBC ALLIANCE
51OtherBC CHOICE
1016028OtherCARE PARTNERS BHP
812778650OtherAETNA US HEALTHCARE (NATI
000440OtherHUMANA
269304OtherHEALTHLINK
430OtherBCBS OF MISSOURI
260176OtherMC UNITY MENTAL HLTH
10491207OtherMCAID COMMUNITY CARE
010491207MedicaidMO
27188OtherCMR CARPENTERS
6316940OtherAETNA
5020283OtherGENCARE PPO

Other names 1

  • Des Peres Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1407886385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741263",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741263",
            "telephone_number": "678-242-2002",
            "fax_number": "314-966-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PERES HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "ARMIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
        "authorized_official_telephone_number": "818-436-2267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "437-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ALLIANCE",
            "identifier": "430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC CHOICE",
            "identifier": "51",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PARTNERS BHP",
            "identifier": "1016028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE (NATI",
            "identifier": "812778650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "269304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSOURI",
            "identifier": "430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC UNITY MENTAL HLTH",
            "identifier": "260176",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID COMMUNITY CARE",
            "identifier": "10491207",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010491207",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR CARPENTERS",
            "identifier": "27188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6316940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENCARE PPO",
            "identifier": "5020283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Peres Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Des Peres 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 12, 2021; 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.