| Barnes Jewish West County Hospital | |
|
12634 Olive Blvd Creve Coeur MO 63141-6337 | |
| (314) 996-8000 | |
| (314) 996-3610 |
| Full Name | Barnes Jewish West County Hospital |
|---|---|
| Speciality | General Practice |
| Location | 12634 Olive Blvd, Creve Coeur, Missouri |
| Authorized Official Name and Position | Gregory Patterson (PRESIDENT) |
| Authorized Official Contact | 3143625909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barnes Jewish West County Hospital 12634 Olive Blvd Creve Coeur MO 63141-6337 Ph: (314) 996-8000 | Barnes Jewish West County Hospital 12634 Olive Blvd Creve Coeur MO 63141-6337 Ph: (314) 996-8000 |
| NPI Number | 1447268495 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 2567468259 |
|---|---|
| Medicare Enrollment ID | O20070502000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447268495 | NPI | - | NPPES |
| 0518719 | Other | AETNA HMO/POS | |
| 6350680 | Other | AETNA PPO | |
| 260162 | Other | MERCY | |
| 16 | Other | BLUE CROSS | |
| 542778402 | Medicaid | MO | |
| 7723X7723 | Other | HEALTHCARE USA | |
| 012778403 | Medicaid | MO | |
| 117292 | Other | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| Provider Name | Elizabeth Plummer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447913967 PECOS PAC ID: 0042608895 Enrollment ID: I20211202001648 |
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