Active NPI
Forest Park Hospital Corporation
- General Acute Care Hospital
- Saint Louis, MO
National Provider Identifier
1700939105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 511-1
- Legal business name
- FOREST PARK HOSPITAL CORPORATION
- Practice address
- 6150 Oakland Avenue
St. Louis, MO 63139-3215 - Phone
- (314) 768-3699
- Fax
- (314) 768-3990
- NPI assigned
- Jan 19, 2007
- Last updated
- Sep 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian E Dunn
- Title
- Chief Executive Officer
- Phone
- (561) 869-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 511-1 | MO | Primary |
Addresses
Primary practice location
6150 Oakland Avenue
St. Louis, MO 63139-3215
Mailing address
999 Yamato Rd
Third Floor
Boca Raton, FL 33431-4477
Phone (561) 869-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10634608 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284422400000",
"number": "1700939105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 YAMATO RD",
"address_2": "THIRD FLOOR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314477",
"telephone_number": "561-869-3100",
"fax_number": "561-826-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 OAKLAND AVENUE",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631393215",
"telephone_number": "314-768-3699",
"fax_number": "314-768-3990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST PARK HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2010-09-14",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "561-869-6300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MO",
"license": "511-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10634608",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Forest Park Critical Care LLC
- Forest Park Emergency Physicians LLC
- Forest Park Hospital Corp #1 (Ambulatory Care Center)
- Forest Park Hospital Corp #1 (Family Medicine of St Louis)
- Forest Park Hospital Corporation (DPG)
- Forest Park Hospital Corporation #1
- Forest Park Hospital Corpporation #1
- Forest Park Medical Clinic Inc (Medex)
- Forest Park Pediatrics, P.C.
- Forest Park Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.