Organization Active NPI

Forest Park Hospital Corporation

  • General Acute Care Hospital
  • Saint Louis, MO
National Provider Identifier
1700939105
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
511-1 Issued in MO
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10634608MedicaidMO

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.