Active NPI
St. Alexius Hospital Corporation 1
- General Acute Care Hospital
- Saint Louis, MO
National Provider Identifier
1780990754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- ST. ALEXIUS HOSPITAL CORPORATION 1
- Practice address
- 3933 S Broadway
Saint Louis, MO 63118-4601 - Phone
- (314) 256-7355
- NPI assigned
- Aug 27, 2010
- Organization subpart
- Yes
- Parent organization
- ST. ALEXIUS HOSPITAL CORPORATION 1
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katherine M Day
- Title
- Manager Patient Financial Services
- Phone
- (314) 256-7168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
3933 S Broadway
Saint Louis, MO 63118-4601
Mailing address
3933 S Broadway
Saint Louis, MO 63118-4601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10635001 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 260103
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ST ALEXIUS HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Nov 1, 2001
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 31, 2000
- Beds
- 203
- Ownership / control type
- Church
- Facility address
- 3933 S Broadway
Saint Louis, MO 63118
National Provider Directory
National Provider Directory- Part of
- St Alexius Hospital Corporation 1
Locations
210 N 10th St
Mount Vernon, IL 62864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307664000000",
"number": "1780990754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 S BROADWAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631184601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 S BROADWAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631184601",
"telephone_number": "314-256-7355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ALEXIUS HOSPITAL CORPORATION 1",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. ALEXIUS HOSPITAL CORPORATION 1",
"enumeration_date": "2010-08-27",
"last_updated": "2011-06-10",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER PATIENT FINANCIAL SERVICES",
"authorized_official_telephone_number": "314-256-7168",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10635001",
"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 Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.