Hawthorn Children'S Psychiatric Hosptial
LBN: State Of Missouri
Hawthorn Children'S Psychiatric Hosptial is an health care organization with primary practice located at 1901 Pennsylvania Ave , Saint Louis MO 63133-1325. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
State Of Missouri can be contacted via phone (314) 512-7800, or through Boeckmann, Molly Jane via phone (573) 751-4055.
Contact Information
Primary practice address
1901 Pennsylvania Ave
Saint Louis MO 63133-1325
Phone: (314) 512-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1376753798 |
|---|---|
| LBN Legal business name | State Of Missouri |
| DBA Doing business as | Hawthorn Children'S Psychiatric Hosptial |
| Authorized official | Boeckmann, Molly Jane |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Oct 27th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376753798 | NPPES |
| Missouri | MEDICAID | 501774004 |
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