Organization Active NPI

Sa Hospital Acquisition Group

Doing business as South City Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
National Provider Identifier
1912109919
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
512-1 Issued in MO
Legal business name
SA HOSPITAL ACQUISITION GROUP
Doing business as
South City Hospital
Practice address
3933 South Broadway
St. Louis, MO 63118-4601
Phone
(314) 865-7000
Fax
(314) 865-7938
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Bianca Defilippi
Title
Chief Executive Officer
Phone
(314) 865-7917

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X 512-1 MO Primary

Addresses

Primary practice location

3933 South Broadway
St. Louis, MO 63118-4601

Mailing address

3933 South Broadway
St. Louis, MO 63118-4601
Phone (314) 865-7000

Other identifiers 1

IdentifierTypeStateIssuer
010635001MedicaidMO

Other names 1

  • South City Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Healthcare Systems Missouri LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

999 W Yamato Rd
Fl Third
Boca Raton, FL 33431

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1912109919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 SOUTH BROADWAY",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631184601",
            "telephone_number": "314-865-7000",
            "fax_number": "314-865-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 SOUTH BROADWAY",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631184601",
            "telephone_number": "314-865-7000",
            "fax_number": "314-865-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA HOSPITAL ACQUISITION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "DEFILIPPI",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-865-7917",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "512-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010635001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South City Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 29, 2023; 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.