Active NPI
St. Bernard Hospital
- Psychiatric Hospital Unit
- Chicago, IL
National Provider Identifier
1477690873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 0002303
- Legal business name
- ST. BERNARD HOSPITAL
- Practice address
- 326 W 64TH St
Chicago, IL 60621-3114 - Phone
- (773) 962-4100
- Fax
- (773) 962-9276
- NPI assigned
- Feb 1, 2007
- Last updated
- Sep 10, 2010
- Organization subpart
- Yes
- Parent organization
- ST. BERNARD HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Guy Richard Alton, CPA
- Title
- Chief Financial Officer
- Phone
- (773) 962-4073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 0002303 | IL | Primary |
Addresses
Primary practice location
326 W 64TH St
Chicago, IL 60621-3114
Mailing address
326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-4100
Other names 1
- ST. BERNARD HOSPITAL PSYCH DPU
National Provider Directory
National Provider Directory- Part of
- St Bernard Emerg Physic
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba The Clinic at Walmart operated by St. Bernard Hospital
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1992053029
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284076800000",
"number": "1477690873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 W 64TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606213114",
"telephone_number": "773-962-4100",
"fax_number": "773-962-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W 64TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606213114",
"telephone_number": "773-962-4100",
"fax_number": "773-962-9276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. BERNARD HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. BERNARD HOSPITAL",
"enumeration_date": "2007-02-01",
"last_updated": "2010-09-10",
"status": "A",
"authorized_official_last_name": "ALTON",
"authorized_official_first_name": "GUY",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "773-962-4073",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "IL",
"license": "0002303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ST. BERNARD HOSPITAL PSYCH DPU",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chicago, IL
- Brandon St Peters, DPT
- Zachary Rock St Pierre, PHARMD
- St Thomas Health Care Inc (Wailai Home Health Services)
- Joelle St-Pierre, MD
- St. Anthony's Spine & Joint Institute, P.C. (Sports & Spinal Rehab Center)
- St. Bernard Hospital (St. Bernard Hospital Dental Services)
- St. Bernard Hospital
- St. Bernard Hospital Ambulatory Care Center Pharmacy
- St. Bernard Hospital Ambulatory Care Clinic
- Kayla Myra St. Claire, MD, MBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.