Forest Park Hospital Corporation
Organization Active NPI Emergency Medicine Physician · Saint Louis, MO
NPI 1700835758 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1700835758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- FOREST PARK HOSPITAL CORPORATION
- Practice address
- 6150 Oakland Ave
Saint Louis, MO 63139-3215 - Phone
- (314) 768-3090
- Fax
- (314) 768-3940
- NPI assigned
- May 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James J O'Keefe
- Title
- Interim Chief Executive Officer
- Phone
- (314) 768-3699
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Diagnostic Radiology Physician |
2085R0202X |
Addresses
Primary practice location
6150 Oakland Ave
Saint Louis, MO 63139-3215
Mailing address
531 Pebble Brook LN
Hmai
Belleville, IL 62221-7609
Phone (618) 779-5508
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 509458303 | Medicaid | MO |
Other names
- DPG
Other providers in Saint Louis, MO
- Forest Park Anesthesia, Inc
- Forest Park Critical Care LLC
- Forest Park Emergency Physicians LLC
- Forest Park Hospital Corp #1
- Forest Park Hospital Corp #1
- Forest Park Hospital Corporation
- Forest Park Hospital Corporation #1
- Forest Park Hospital Corpporation #1
- Forest Park Medical Clinic Inc
- Forest Park Pediatrics, P.C.
All providers in Saint Louis, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.